STEPHANIE ANN WIECZOREK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932304

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WIECZOREK

Business Name

STEPHANIE ANN WIECZOREK

Original Issue Date

06/05/2006

Effective Date

06/05/2006

Expiration Date

03/31/2008

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008