KRISTIN M SKLUZACEK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009996

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

Last Name

SKLUZACEK

Suffix

Business Name

KRISTIN M SKLUZACEK OD

Original Issue Date

06/27/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2008