RICHARD MARK ZAJICEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933072

License Status

NOT RENEWED

Business

Title

First Name

RICHARD MARK

Last Name

ZAJICEK

Business Name

RICHARD MARK ZAJICEK OD

Original Issue Date

06/12/2007

Effective Date

06/12/2007

Expiration Date

03/31/2008

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008