ELLEN RENEE PETROCZKY - Optometrist License in Illinois | # 047934103

ELLEN RENEE PETROCZKY

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934103

License Status

CANCELLED

Business

N

First Name

ELLEN

Middle

RENEE

Last Name

PETROCZKY

Business Name

ELLEN RENEE PETROCZKY

Original Issue Date

04/11/2008

Effective Date

04/11/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010