RICHARD MARK ZAJICEK OD - Optometrist License in Illinois | # 047932861

RICHARD MARK ZAJICEK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932861

License Status

CANCELLED

Business

N

Title

OD

First Name

RICHARD MARK

Last Name

ZAJICEK

Business Name

RICHARD MARK ZAJICEK OD

Original Issue Date

02/07/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010