MICHAEL D MACEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018708

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MACEK

Suffix

Business Name

MICHAEL D MACEK OD

Original Issue Date

03/21/1996

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005