MAI LY TSAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

First Name

MAI

Middle

Last Name

TSAI

Suffix

Business Name

MAI LY TSAI OD

Original Issue Date

01/18/2002

Effective Date

07/29/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006