MALGORZATA KIWACZ OD - Optometrist License in Illinois | # 047934944

MALGORZATA KIWACZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934944

License Status

CANCELLED

Business

N

Title

OD

First Name

MALGORZATA

Last Name

KIWACZ

Business Name

MALGORZATA KIWACZ OD

Original Issue Date

12/17/2008

Effective Date

12/17/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010