RICHARD J SUROWIAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008545

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

SUROWIAK

Suffix

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

05/04/1995

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005