KELLY MARIE DAUGHERTY ZIELASKOWSKI Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933376

License Status

CANCELLED

Business

First Name

KELLY

Middle

MARIE

Last Name

DAUGHERTY ZIELASKOWSKI

Business Name

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Original Issue Date

09/09/2007

Effective Date

09/09/2007

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008