ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047606137

License Status

NOT RENEWED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

01/04/1991

Expiration Date

03/31/1992

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005