EDWIN S MIROCHNA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047704578

License Status

NOT RENEWED

Business

First Name

EDWIN S

Last Name

MIROCHNA

Business Name

EDWIN S MIROCHNA

Original Issue Date

04/19/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005