WILLIAM EDWARD PAWLAK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931180

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

PAWLAK

Suffix

Business Name

WILLIAM EDWARD PAWLAK OD

Original Issue Date

05/12/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010