JERRY Q TOM Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007797

License Status

INACTIVE

Business

First Name

JERRY Q

Last Name

TOM

Business Name

JERRY Q TOM

Original Issue Date

01/30/1985

Expiration Date

03/31/1992

City

BOTHELL

State

Zip

98011

County

WASHINGTON

Ever Disciplined

LastModifiedDate

08/31/2005