TOM R MASTERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047076631

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

MASTERS

Suffix

Business Name

TOM R MASTERS OD

Original Issue Date

02/05/1992

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005