THOMAS P MALEE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

MALEE

Suffix

Business Name

THOMAS P MALEE OD

Original Issue Date

05/07/1996

Effective Date

03/17/2014

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016