JENNIFER L TOMICH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928354

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

TOMICH

Business Name

JENNIFER L TOMICH

Original Issue Date

12/31/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

09/11/2005