TINA R THOMAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926386

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

THOMAS

Suffix

Business Name

TINA R THOMAS OD

Original Issue Date

09/16/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005