ERIC JON PETECKI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931436

License Status

CANCELLED

Business

First Name

ERIC

Middle

JON

Last Name

PETECKI

Suffix

Business Name

ERIC JON PETECKI OD

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

03/31/2006

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006