TANYA N LE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

Business Name

TANYA N LE

Original Issue Date

10/02/2008

Effective Date

10/02/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010