THADDEUS R NOWAK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204392

License Status

CANCELLED

Business

First Name

THADDEUS R

Last Name

NOWAK

Business Name

THADDEUS R NOWAK

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005