TIMOTHY J LEAHY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

LEAHY

Suffix

Business Name

TIMOTHY J LEAHY OD

Original Issue Date

10/24/1997

Effective Date

01/31/2000

Expiration Date

03/31/2000

City

PITTSFIELD

State

Zip

62363

County

PIKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006