LESZEK ZENON PACZKOWSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106890

License Status

NOT RENEWED

Business

First Name

LESZEK

Middle

ZENON

Last Name

PACZKOWSKI

Suffix

Business Name

LESZEK ZENON PACZKOWSKI OD

Original Issue Date

12/28/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005