RICHARD MARK ZAJICEK OD - Optometrist License in Illinois | # 047935722

RICHARD MARK ZAJICEK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935722

License Status

CANCELLED

Business

N

Title

OD

First Name

RICHARD MARK

Last Name

ZAJICEK

Business Name

RICHARD MARK ZAJICEK OD

Original Issue Date

09/28/2009

Effective Date

09/28/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010