RICHARD J SUROWIAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931602

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

SUROWIAK

Suffix

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

11/08/2005

Effective Date

11/08/2005

Expiration Date

03/31/2006

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/11/2006