AMMIE MARIE CHIZEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009732

License Status

NOT RENEWED

Business

First Name

AMMIE

Middle

MARIE

Last Name

CHIZEK

Suffix

Business Name

AMMIE MARIE CHIZEK OD

Original Issue Date

01/04/2005

Effective Date

01/18/2012

Expiration Date

03/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2014