JOHN MARK HOLICKA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006667

License Status

CANCELLED

Business

First Name

JOHN

Middle

MARK

Last Name

HOLICKA

Suffix

Business Name

JOHN MARK HOLICKA OD

Original Issue Date

09/09/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005