MICHAEL VINCENT PASKVAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929951

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

VINCENT

Last Name

PASKVAN

Business Name

MICHAEL VINCENT PASKVAN OD

Original Issue Date

01/16/2004

Effective Date

01/16/2004

Expiration Date

03/31/2006

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006