THOMAS K BIALECKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926357

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

BIALECKE

Business Name

THOMAS K BIALECKE OD

Original Issue Date

09/02/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005