MAI LY TSAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931164

License Status

NOT RENEWED

Business

First Name

MAI

Middle

Last Name

TSAI

Suffix

Business Name

MAI LY TSAI OD

Original Issue Date

05/05/2005

Effective Date

05/05/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61106

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/18/2006