THOMAS E ANDERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932773

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

ANDERSON

Suffix

Business Name

THOMAS E ANDERSON OD

Original Issue Date

01/12/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010