MICHAEL ANTHONY CISZEK OD - Optometrist License in Illinois | # 047927448

MICHAEL ANTHONY CISZEK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927448

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

09/28/2000

Effective Date

03/23/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006