TOM R MASTERS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930679

License Status

CANCELLED

Business

First Name

TOM

Middle

Last Name

MASTERS

Suffix

Business Name

TOM R MASTERS OD

Original Issue Date

10/12/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010