License Directory

Lee-Jin Thi Nguyen-Portillo

Active

California license 42113

License

Licensed by
California State Board of Optometry
License number
42113
Status
Active (Current)
First issued
June 24, 2020
Expires
June 30, 2028
License holder
Lee-Jin Thi Nguyen-Portillo
Entity type
Individual

Classifications

More from the license record

License type code
4206

Contact

631 E Grove St
Rialto, CA 92376-5232
San Bernardino County