THOMAS K BIALECKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006168

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

BIALECKE

Business Name

THOMAS K BIALECKE OD

Original Issue Date

07/22/1966

Effective Date

03/21/2012

Expiration Date

03/31/2014

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2014