THOMAS JOSEPH POSWILKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928713

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JOSEPH

Last Name

POSWILKO

Business Name

THOMAS JOSEPH POSWILKO OD

Original Issue Date

05/17/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005