JOHN MARK HOLICKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106667

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARK

Last Name

HOLICKA

Suffix

Business Name

JOHN MARK HOLICKA OD

Original Issue Date

12/28/1977

Expiration Date

01/01/1997

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/01/2005