THOMAS E BOBKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

BOBKA

Suffix

Business Name

THOMAS E BOBKA OD

Original Issue Date

07/11/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GREEN BAY

State

Zip

54307

County

WISCONSIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006