MALGORZATA KIWACZ OD - Optometrist License in Illinois | # 047935864

MALGORZATA KIWACZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935864

License Status

CANCELLED

Business

N

Title

OD

First Name

MALGORZATA

Last Name

KIWACZ

Business Name

MALGORZATA KIWACZ OD

Original Issue Date

11/19/2009

Effective Date

11/19/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010