ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006137

License Status

NOT RENEWED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

01/31/1979

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005