JACIE MARIE THOMAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

NOT RENEWED

Business

Title

First Name

JACIE

Middle

MARIE

Last Name

THOMAS

Business Name

JACIE MARIE THOMAS OD

Original Issue Date

06/30/2016

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021