THOMAS E ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028007

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANDERSON

Suffix

Business Name

THOMAS E ANDERSON OD

Original Issue Date

04/29/1992

Expiration Date

03/31/1996

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005