MATTHEW DAVID VIZITHUM OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009092

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

DAVID

Last Name

VIZITHUM

Suffix

Business Name

MATTHEW DAVID VIZITHUM OD

Original Issue Date

07/15/1998

Effective Date

01/31/2000

Expiration Date

03/31/2000

City

CARRBORO

State

Zip

27510

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/11/2005