RICHARD J SUROWIAK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933676

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

SUROWIAK

Suffix

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

01/06/2008

Effective Date

01/06/2008

Expiration Date

03/31/2010

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010