THOMAS J BALDA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048673

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BALDA

Business Name

THOMAS J BALDA

Original Issue Date

09/09/1994

Expiration Date

03/31/1998

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005