TIFFANY LYNN POLANEK OD - Optometrist License in Illinois | # 047930748

TIFFANY LYNN POLANEK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930748

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

11/29/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008