ALEXANDER MARSHALKOVICH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930759

License Status

CANCELLED

Business

First Name

ALEXANDER

Last Name

MARSHALKOVICH

Business Name

ALEXANDER MARSHALKOVICH

Original Issue Date

12/02/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010