MICHELLE M MARCINIAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928487

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

Last Name

MARCINIAK

Business Name

MICHELLE M MARCINIAK OD

Original Issue Date

03/05/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005