MICHAEL MLYNSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929056

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

MLYNSKI

Suffix

Business Name

MICHAEL MLYNSKI OD

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005