THOMAS E ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931505

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANDERSON

Suffix

Business Name

THOMAS E ANDERSON OD

Original Issue Date

09/22/2005

Effective Date

09/22/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006