THOMAS K BIALECKE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932295

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

Last Name

BIALECKE

Business Name

THOMAS K BIALECKE OD

Original Issue Date

05/22/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/04/2010