THOMAS E L MAHAFFEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

E L

Last Name

MAHAFFEY

Suffix

Business Name

THOMAS E L MAHAFFEY OD

Original Issue Date

06/10/1996

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025