MICHELE A JURKOVIC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925327

License Status

NOT RENEWED

Business

First Name

MICHELE A

Last Name

JURKOVIC

Suffix

Business Name

MICHELE A JURKOVIC OD

Original Issue Date

05/15/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005