JEFFREY D DZIK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933077

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DZIK

Business Name

JEFFREY D DZIK

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

03/31/2008

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/02/2008