TOM R MASTERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

MASTERS

Suffix

Business Name

TOM R MASTERS OD

Original Issue Date

10/14/1998

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014