SUSANNA C FOSTIAK - Optometrist License in Illinois | # 047933689

SUSANNA C FOSTIAK

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933689

License Status

CANCELLED

Business

N

First Name

SUSANNA C

Last Name

FOSTIAK

Business Name

SUSANNA C FOSTIAK

Original Issue Date

01/16/2008

Effective Date

01/16/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010