STEPHANIE ANN WIECZOREK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933322

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WIECZOREK

Business Name

STEPHANIE ANN WIECZOREK

Original Issue Date

08/21/2007

Effective Date

08/21/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008