MICHAEL N PALANCA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928498

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

PALANCA

Business Name

MICHAEL N PALANCA

Original Issue Date

03/22/2002

Effective Date

07/03/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005