MIRKA SULC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926126

License Status

NOT RENEWED

Business

First Name

MIRKA

Last Name

SULC

Suffix

Business Name

MIRKA SULC OD

Original Issue Date

02/23/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005