JAY EDWIN TALLIS OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007271

License Status

ACTIVE

Business

First Name

JAY

Middle

EDWIN

Last Name

TALLIS

Suffix

Business Name

JAY EDWIN TALLIS OD

Original Issue Date

02/29/1980

Effective Date

01/30/2024

Expiration Date

03/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2026