KELLY MARIE DAUGHERTY ZIELASKOWSKI - Optometrist License in Illinois | # 047933376

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933376

License Status

CANCELLED

Business

N

First Name

KELLY

Middle

MARIE

Last Name

DAUGHERTY ZIELASKOWSKI

Business Name

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Original Issue Date

09/09/2007

Effective Date

09/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008