THOMAS A WILKISON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047076071

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

WILKISON

Business Name

THOMAS A WILKISON OD

Original Issue Date

11/14/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005