TOM D FICKES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008705

License Status

NOT RENEWED

Business

First Name

TOM D

Last Name

FICKES

Suffix

Business Name

TOM D FICKES OD

Original Issue Date

05/17/1994

Expiration Date

03/31/1996

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/01/2005