Delaware
Division of Professional Regulation
Thomas G. Bastholm
Optometry - Diagnostic Optometrist
License number
I2-0001133
Date granted
04/24/1976
Date expires
06/01/1995
Class
Optometry - Diagnostic Optometrist
Status
Lapsed
Address
Lewes DE 19958
delawarelicensing.com
ID 20495373
LAST UPDATED 2024-02-09 22:34:15 UTC
LAST UPDATED 2024-02-09 22:34:15 UTC
This website is unaffiliated with the Division of Professional Regulation. Please verify all information directly with the relevant official government authority.