THOMAS E L MAHAFFEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925802

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

E L

Last Name

MAHAFFEY

Suffix

Business Name

THOMAS E L MAHAFFEY OD

Original Issue Date

08/14/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005