WILLIAM EDWARD PAWLAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929723

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

PAWLAK

Suffix

Business Name

WILLIAM EDWARD PAWLAK OD

Original Issue Date

09/24/2003

Effective Date

03/12/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006