THOMAS JOSEPH POSWILKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930190

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JOSEPH

Last Name

POSWILKO

Business Name

THOMAS JOSEPH POSWILKO OD

Original Issue Date

05/26/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008