JAMES MITCHELL POLONCAK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009327

License Status

INACTIVE

Business

First Name

JAMES

Middle

MITCHELL

Last Name

POLONCAK

Business Name

JAMES MITCHELL POLONCAK

Original Issue Date

03/28/2001

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

WINTER PARK

State

Zip

32792

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/18/2006