TOM R MASTERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006631

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

MASTERS

Suffix

Business Name

TOM R MASTERS OD

Original Issue Date

08/14/1974

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014

Case Number

1994001556

Action

Fine

Discipline Start Date

08/05/1994

Discipline Reason

Practiced at a secondary location without a valid ancillary license.