TINA R THOMAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932976

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

THOMAS

Suffix

Business Name

TINA R THOMAS OD

Original Issue Date

04/23/2007

Effective Date

04/23/2007

Expiration Date

03/31/2008

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008