TOM G PANOS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

PANOS

Suffix

Business Name

TOM G PANOS OD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

03/31/2006

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006