DOROTA M CZAICKA OD - Optometrist License in Illinois | # 047935445

DOROTA M CZAICKA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935445

License Status

CANCELLED

Business

N

First Name

DOROTA

Middle

M

Last Name

CZAICKA

Suffix

OD

Business Name

DOROTA M CZAICKA OD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010