RICHARD J SUROWIAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932676

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

SUROWIAK

Suffix

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

11/20/2006

Effective Date

11/20/2006

Expiration Date

03/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008