MICHAEL W THOMAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930914

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

THOMAS

Business Name

MICHAEL W THOMAS OD

Original Issue Date

02/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008