LEE ALLEN LEVIN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006545

License Status

INACTIVE

Business

First Name

LEE ALLEN

Last Name

LEVIN

Business Name

LEE ALLEN LEVIN

Original Issue Date

08/21/1973

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

GARY

State

Zip

46409

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014