DONALD V MADUZIA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932722

License Status

CANCELLED

Business

Title

First Name

DONALD

Middle

Last Name

MADUZIA

Business Name

DONALD V MADUZIA OD

Original Issue Date

12/14/2006

Effective Date

01/15/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010