MICHELLE M MARCINIAK OD - Optometrist License in Illinois | # 047038643

MICHELLE M MARCINIAK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038643

License Status

CANCELLED

Business

N

Title

OD

First Name

MICHELLE

Middle

M

Last Name

MARCINIAK

Business Name

MICHELLE M MARCINIAK OD

Original Issue Date

12/13/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010