THOMAS F STAZAK OD - Optometrist License in Illinois | # 047206373

THOMAS F STAZAK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206373

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

F

Last Name

STAZAK

Suffix

OD

Business Name

THOMAS F STAZAK OD

Original Issue Date

12/22/1981

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005