ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930879

License Status

NOT RENEWED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

02/08/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008