MICHAEL ANTHONY CISZEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925462

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

CISZEK

Suffix

Business Name

MICHAEL ANTHONY CISZEK OD

Original Issue Date

10/07/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005