MICHAEL ANTHONY CISZEK OD - Optometrist License in Illinois | # 047038625

MICHAEL ANTHONY CISZEK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038625

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

ANTHONY

Last Name

CISZEK

Suffix

OD

Business Name

MICHAEL ANTHONY CISZEK OD

Original Issue Date

07/10/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005