KELLY MARIE DAUGHERTY ZIELASKOWSKI Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933637

License Status

CANCELLED

Business

First Name

KELLY

Middle

MARIE

Last Name

DAUGHERTY ZIELASKOWSKI

Business Name

KELLY MARIE DAUGHERTY ZIELASKOWSKI

Original Issue Date

12/16/2007

Effective Date

12/16/2007

Expiration Date

03/31/2008

City

DEER PARK

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2008