KELLY MARIE DAUGHERTY ZIELASKOWSKI - Optometrist License in Illinois | # 047934191

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934191

License Status

CANCELLED

Business

N

First Name

KELLY

Middle

MARIE

Last Name

DAUGHERTY ZIELASKOWSKI

Business Name

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Original Issue Date

05/09/2008

Effective Date

05/09/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010