CHRISTA D PIETRZYK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931664

License Status

CANCELLED

Business

First Name

CHRISTA

Middle

Last Name

PIETRZYK

Suffix

Business Name

CHRISTA D PIETRZYK OD

Original Issue Date

01/25/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010