THANH T LE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

Title

First Name

THANH

Middle

Last Name

Business Name

THANH T LE OD

Original Issue Date

07/13/2015

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

NORTH RIVERSIDE

State

Zip

60016

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021