MICHAEL D MACEK OD - Optometrist License in Illinois | # 047018708

MICHAEL D MACEK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018708

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

D

Last Name

MACEK

Suffix

OD

Business Name

MICHAEL D MACEK OD

Original Issue Date

03/21/1996

Effective Date

06/12/1999

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005