ANN M PATKOWSKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008080

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

PATKOWSKI

Business Name

ANN M PATKOWSKI

Original Issue Date

11/18/1987

Expiration Date

03/31/1988

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005