Xuan Mai T Ta
InactiveIllinois license 046007973
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046007973
- Status
- Inactive
- First issued
- August 28, 1986
- Expired
- March 31, 1988
- License holder
- Xuan Mai T Ta
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Shawnee, KS 66216
Kansas County