TOM G PANOS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930011

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

PANOS

Suffix

Business Name

TOM G PANOS OD

Original Issue Date

03/03/2004

Effective Date

03/03/2004

Expiration Date

03/31/2006

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006