RASA TAMULAVICHUS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934197

License Status

CANCELLED

Business

First Name

RASA

Last Name

TAMULAVICHUS

Suffix

Business Name

RASA TAMULAVICHUS OD

Original Issue Date

05/11/2008

Effective Date

05/11/2008

Expiration Date

03/31/2010

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010