THANH T LE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010609

License Status

INACTIVE

Business

Title

First Name

THANH

Middle

Last Name

Business Name

THANH T LE OD

Original Issue Date

07/27/2012

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

NORTH RIVERSIDE

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2020