TOM R MASTERS OD - Optometrist License in Illinois | # 047930679

TOM R MASTERS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930679

License Status

CANCELLED

Business

N

First Name

TOM

Middle

R

Last Name

MASTERS

Suffix

OD

Business Name

TOM R MASTERS OD

Original Issue Date

10/12/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010