JENNIFER L TOMICH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928304

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

TOMICH

Business Name

JENNIFER L TOMICH

Original Issue Date

11/20/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005