JAMES MITCHELL POLONCAK - Optometrist License in Illinois | # 047928251

JAMES MITCHELL POLONCAK

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928251

License Status

INACTIVE

Business

N

First Name

JAMES

Middle

MITCHELL

Last Name

POLONCAK

Business Name

JAMES MITCHELL POLONCAK

Original Issue Date

10/30/2001

Effective Date

03/10/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005