MICHAEL VINCENT PASKVAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929812

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

VINCENT

Last Name

PASKVAN

Business Name

MICHAEL VINCENT PASKVAN OD

Original Issue Date

10/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005