THOMAS E GUSTAFSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028241

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

GUSTAFSON

Suffix

Business Name

THOMAS E GUSTAFSON OD

Original Issue Date

06/04/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010