MICHELLE M MARCINIAK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038643

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

Last Name

MARCINIAK

Business Name

MICHELLE M MARCINIAK OD

Original Issue Date

12/13/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010