EDWIN S MIROCHNA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047404578

License Status

CANCELLED

Business

First Name

EDWIN S

Last Name

MIROCHNA

Business Name

EDWIN S MIROCHNA

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005