ERIC JON PETECKI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933944

License Status

CANCELLED

Business

First Name

ERIC

Middle

JON

Last Name

PETECKI

Suffix

Business Name

ERIC JON PETECKI OD

Original Issue Date

03/29/2008

Effective Date

03/29/2008

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010