Optometrist
LICENSED OPTOMETRIST
046008625
ACTIVE
N
MICHAEL
ANTHONY
CISZEK
OD
MICHAEL ANTHONY CISZEK OD
08/25/1993
03/13/2026
03/31/2028
IL
Y
2003002347
Fine
10/07/2003
Failed to comply with the minimum required number of continuing education credit hours.