JERRY Q TOM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207797

License Status

NOT RENEWED

Business

First Name

JERRY Q

Last Name

TOM

Business Name

JERRY Q TOM

Original Issue Date

04/17/1987

Expiration Date

03/31/1988

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005