THADDEUS R NOWAK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004392

License Status

NOT RENEWED

Business

First Name

THADDEUS R

Last Name

NOWAK

Business Name

THADDEUS R NOWAK

Expiration Date

05/01/1982

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005