ALPHONSE J BELENSKY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005281

License Status

CANCELLED

Business

First Name

ALPHONSE J

Last Name

BELENSKY

Business Name

ALPHONSE J BELENSKY

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005