RASA TAMULAVICHUS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930617

License Status

NOT RENEWED

Business

First Name

RASA

Last Name

TAMULAVICHUS

Suffix

Business Name

RASA TAMULAVICHUS OD

Original Issue Date

09/28/2004

Effective Date

09/28/2004

Expiration Date

03/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006