ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006137

License Status

NOT RENEWED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

03/08/2010

Effective Date

03/08/2010

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

05/16/2012