THU THI ANH TO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

NOT RENEWED

Business

First Name

THU

Middle

THI ANH

Last Name

Suffix

Business Name

THU THI ANH TO OD

Original Issue Date

07/27/2006

Effective Date

03/29/2010

Expiration Date

03/31/2012

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012