THOMAS E GUSTAFSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932401

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

GUSTAFSON

Suffix

Business Name

THOMAS E GUSTAFSON OD

Original Issue Date

07/07/2006

Effective Date

07/07/2006

Expiration Date

03/31/2008

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008