THOMAS E ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048007

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANDERSON

Suffix

Business Name

THOMAS E ANDERSON OD

Original Issue Date

01/09/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005