RICHARD J SUROWIAK OD - Optometrist License in Illinois | # 047933676

RICHARD J SUROWIAK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933676

License Status

CANCELLED

Business

N

First Name

RICHARD

Middle

J

Last Name

SUROWIAK

Suffix

OD

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

01/06/2008

Effective Date

01/06/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010