IVAN LESEIKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005889

License Status

NOT RENEWED

Business

First Name

IVAN

Last Name

LESEIKO

Suffix

Business Name

IVAN LESEIKO OD

Original Issue Date

11/23/1976

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005