THOMAS E ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038007

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANDERSON

Suffix

Business Name

THOMAS E ANDERSON OD

Original Issue Date

07/11/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005