CUC KIM THI LE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****76

License Status

NOT RENEWED

Business

First Name

CUC KIM

Middle

THI

Last Name

Suffix

Business Name

CUC KIM THI LE OD

Original Issue Date

04/23/2010

Effective Date

04/23/2010

Expiration Date

03/31/2012

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012