TRACY LYNN MATCHINSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008902

License Status

NOT RENEWED

Business

Title

First Name

TRACY

Middle

LYNN

Last Name

MATCHINSKI

Business Name

TRACY LYNN MATCHINSKI OD

Original Issue Date

12/24/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005