THEODORE MACHATKA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004863

License Status

CANCELLED

Business

First Name

THEODORE

Last Name

MACHATKA

Business Name

THEODORE MACHATKA

Expiration Date

05/01/1982

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

09/01/2005