TIMOTHY J LEAHY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927347

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

LEAHY

Suffix

Business Name

TIMOTHY J LEAHY OD

Original Issue Date

08/23/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/04/2010