MICHAEL EUNTAEK LEE OD - Optometrist License in Illinois | # 047930407

MICHAEL EUNTAEK LEE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930407

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

EUNTAEK

Last Name

LEE

Suffix

OD

Business Name

MICHAEL EUNTAEK LEE OD

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006