EMILY ROSE KONCZAL OD - Optometrist License in Illinois | # 047935328

EMILY ROSE KONCZAL OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935328

License Status

CANCELLED

Business

N

First Name

EMILY

Middle

ROSE

Last Name

KONCZAL

Suffix

OD

Business Name

EMILY ROSE KONCZAL OD

Original Issue Date

05/07/2009

Effective Date

05/07/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010