THERESA L FRITH OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009244

License Status

INACTIVE

Business

First Name

THERESA

Middle

Last Name

FRITH

Suffix

Business Name

THERESA L FRITH OD

Original Issue Date

04/05/2000

Effective Date

02/03/2016

Expiration Date

03/31/2018

City

PORTAGE

State

Zip

53901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/12/2018