DONALD V MADUZIA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307789

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

Last Name

MADUZIA

Business Name

DONALD V MADUZIA OD

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005