STEPHANIE ANN WIECZOREK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928660

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WIECZOREK

Business Name

STEPHANIE ANN WIECZOREK

Original Issue Date

05/01/2002

Effective Date

05/27/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010