TIFFANY LYNN POLANEK OD - Optometrist License in Illinois | # 047929759

TIFFANY LYNN POLANEK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929759

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

LYNN

Last Name

POLANEK

Suffix

OD

Business Name

TIFFANY LYNN POLANEK OD

Original Issue Date

10/16/2003

Effective Date

02/25/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006