XUAN MAI T TA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007973

License Status

INACTIVE

Business

First Name

XUAN MAI T

Last Name

Business Name

XUAN MAI T TA

Original Issue Date

08/28/1986

Expiration Date

03/31/1988

City

SHAWNEE

State

Zip

66216

County

KANSAS

Ever Disciplined

LastModifiedDate

08/31/2005