TRINA T TRAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

TRINA

Middle

Last Name

TRAN

Suffix

Business Name

TRINA T TRAN OD

Original Issue Date

08/27/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005