ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047506137

License Status

NOT RENEWED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

04/25/1989

Expiration Date

03/31/1990

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005