TOM R MASTERS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935809

License Status

CANCELLED

Business

First Name

TOM

Middle

Last Name

MASTERS

Suffix

Business Name

TOM R MASTERS OD

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010