ERIC JON PETECKI OD - Optometrist License in Illinois | # 047931436

ERIC JON PETECKI OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931436

License Status

CANCELLED

Business

N

First Name

ERIC

Middle

JON

Last Name

PETECKI

Suffix

OD

Business Name

ERIC JON PETECKI OD

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006