MICHELLE M MARCINIAK OD - Optometrist License in Illinois | # 047928487

MICHELLE M MARCINIAK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928487

License Status

NOT RENEWED

Business

N

Title

OD

First Name

MICHELLE

Middle

M

Last Name

MARCINIAK

Business Name

MICHELLE M MARCINIAK OD

Original Issue Date

03/05/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005