TANYA N LE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934739

License Status

CANCELLED

Business

First Name

TANYA

Middle

Last Name

Business Name

TANYA N LE

Original Issue Date

10/10/2008

Effective Date

10/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010