THOMAS A LAWLESS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

LAWLESS

Suffix

Business Name

THOMAS A LAWLESS OD

Original Issue Date

04/01/1996

Effective Date

03/09/2016

Expiration Date

03/31/2018

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018