STEPHANIE ANN WIECZOREK - Optometrist License in Illinois | # 047928660

STEPHANIE ANN WIECZOREK

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928660

License Status

CANCELLED

Business

N

First Name

STEPHANIE

Middle

ANN

Last Name

WIECZOREK

Business Name

STEPHANIE ANN WIECZOREK

Original Issue Date

05/01/2002

Effective Date

05/27/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010