THOMAS RICHARD BENTHIEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107474

License Status

NOT RENEWED

Business

First Name

THOMAS RICHARD

Last Name

BENTHIEN

Business Name

THOMAS RICHARD BENTHIEN

Original Issue Date

01/12/1984

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005