TIMOTHY J LEAHY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028656

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

LEAHY

Suffix

Business Name

TIMOTHY J LEAHY OD

Original Issue Date

03/21/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/04/2010