MICHAEL N PALANCA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009274

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

PALANCA

Business Name

MICHAEL N PALANCA

Original Issue Date

07/11/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005