RASA TAMULAVICHUS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931729

License Status

NOT RENEWED

Business

First Name

RASA

Last Name

TAMULAVICHUS

Suffix

Business Name

RASA TAMULAVICHUS OD

Original Issue Date

02/16/2006

Effective Date

02/16/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008