MICHAEL E TABERNACKI OD - Optometrist License in Illinois | # 047208140

MICHAEL E TABERNACKI OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047208140

License Status

NOT RENEWED

Business

N

First Name

MICHAEL E

Last Name

TABERNACKI

Suffix

OD

Business Name

MICHAEL E TABERNACKI OD

Original Issue Date

05/25/1991

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005