JIA LAO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935744

License Status

CANCELLED

Business

First Name

JIA

Last Name

LAO

Suffix

Business Name

JIA LAO OD

Original Issue Date

10/02/2009

Effective Date

10/02/2009

Expiration Date

03/31/2010

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010