MATTHEW STEPHEN BUCZKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931293

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

STEPHEN

Last Name

BUCZKO

Suffix

Business Name

MATTHEW STEPHEN BUCZKO OD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

03/31/2006

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2006