THOMAS F STAZAK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006373

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

STAZAK

Suffix

Business Name

THOMAS F STAZAK OD

Original Issue Date

01/21/2010

Effective Date

03/11/2022

Expiration Date

03/31/2024

City

SARASOTA

State

Zip

34240

Ever Disciplined

LastModifiedDate

01/04/2024