THOMAS A WILKISON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

WILKISON

Business Name

THOMAS A WILKISON OD

Original Issue Date

12/01/2011

Effective Date

01/21/2014

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

05/20/2016