THOMAS E L MAHAFFEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927671

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

12/26/2000

Effective Date

07/15/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006