MICHAEL E TABERNACKI OD - Optometrist License in Illinois | # 047932525

MICHAEL E TABERNACKI OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932525

License Status

CANCELLED

Business

N

First Name

MICHAEL E

Last Name

TABERNACKI

Suffix

OD

Business Name

MICHAEL E TABERNACKI OD

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008