THOMAS E L MAHAFFEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928389

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

01/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005