THOMAS J BALDA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927796

License Status

CANCELLED

Business

First Name

THOMAS J

Last Name

BALDA

Business Name

THOMAS J BALDA

Original Issue Date

03/21/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010