EDWIN S MIROCHNA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047904578

License Status

NOT RENEWED

Business

First Name

EDWIN S

Last Name

MIROCHNA

Business Name

EDWIN S MIROCHNA

Original Issue Date

09/29/1978

Expiration Date

05/01/1982

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005