DOROTA M CZAICKA OD - Optometrist License in Illinois | # 047930628

DOROTA M CZAICKA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930628

License Status

NOT RENEWED

Business

N

First Name

DOROTA

Middle

M

Last Name

CZAICKA

Suffix

OD

Business Name

DOROTA M CZAICKA OD

Original Issue Date

10/01/2004

Effective Date

10/01/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006