TIMOTHY J LEAHY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932517

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

LEAHY

Suffix

Business Name

TIMOTHY J LEAHY OD

Original Issue Date

09/14/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GRIGGSVILLE

State

Zip

62340

County

PIKE

Ever Disciplined

LastModifiedDate

05/04/2010