ANTHONY P TSIFTILIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

Last Name

TSIFTILIS

Business Name

ANTHONY P TSIFTILIS OD

Original Issue Date

10/03/1997

Effective Date

03/22/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018