TONYA M TIRA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

First Name

TONYA

Middle

Last Name

TIRA

Suffix

Business Name

TONYA M TIRA OD

Original Issue Date

09/26/2005

Effective Date

01/26/2018

Expiration Date

09/30/2020

City

GENEVA

State

Zip

60134

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021