MICHAEL E TABERNACKI OD - Optometrist License in Illinois | # 046008140

MICHAEL E TABERNACKI OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008140

License Status

NOT RENEWED

Business

N

First Name

MICHAEL E

Last Name

TABERNACKI

Suffix

OD

Business Name

MICHAEL E TABERNACKI OD

Original Issue Date

08/30/1988

Effective Date

03/13/2022

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025