ROMUALD KUZA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932876

License Status

CANCELLED

Business

First Name

ROMUALD

Last Name

KUZA

Suffix

Business Name

ROMUALD KUZA OD

Original Issue Date

02/22/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010