TIFFANY LYNN POLANEK OD - Optometrist License in Illinois | # 047932970

TIFFANY LYNN POLANEK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932970

License Status

CANCELLED

Business

N

First Name

TIFFANY

Middle

LYNN

Last Name

POLANEK

Suffix

OD

Business Name

TIFFANY LYNN POLANEK OD

Original Issue Date

04/19/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010