MICHAEL EUNTAEK LEE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930407

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EUNTAEK

Last Name

LEE

Suffix

Business Name

MICHAEL EUNTAEK LEE OD

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006