THOMAS E L MAHAFFEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038812

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

E L

Last Name

MAHAFFEY

Suffix

Business Name

THOMAS E L MAHAFFEY OD

Original Issue Date

03/21/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005