Optometrist
LICENSED OPTOMETRIST
046005859
NOT RENEWED
N
CONRAD E
MAZESKI
CONRAD E MAZESKI
11/11/1955
03/31/1998
MT. PROSPECT
IL
60056
COOK
Y
08/31/2005
1996009746
Refuse To Renew
06/03/1998
Failing to provide sufficient proof of required continuing education hours.