JOHN PHILIP LACZKOWSKI - Optometrist License in Wisconsin | # 046006542

JOHN PHILIP LACZKOWSKI

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006542

License Status

NOT RENEWED

Business

N

First Name

JOHN PHILIP

Last Name

LACZKOWSKI

Business Name

JOHN PHILIP LACZKOWSKI

Original Issue Date

08/21/1973

Expiration Date

01/01/1997

State

WI

Ever Disciplined

N

LastModifiedDate

08/31/2005