JERRY Q TOM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047807797

License Status

NOT RENEWED

Business

First Name

JERRY Q

Last Name

TOM

Business Name

JERRY Q TOM

Original Issue Date

08/01/1989

Expiration Date

03/31/1992

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005