MATTHEW STEPHEN BUCZKO OD - Optometrist License in Illinois | # 047931293

MATTHEW STEPHEN BUCZKO OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931293

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

STEPHEN

Last Name

BUCZKO

Suffix

OD

Business Name

MATTHEW STEPHEN BUCZKO OD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006