CLEMENT G RYBACEK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004779

License Status

CANCELLED

Business

First Name

CLEMENT G

Last Name

RYBACEK

Business Name

CLEMENT G RYBACEK

Original Issue Date

08/22/1972

Expiration Date

01/01/1997

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005