DONALD V MADUZIA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934673

License Status

CANCELLED

Business

Title

First Name

DONALD

Middle

Last Name

MADUZIA

Business Name

DONALD V MADUZIA OD

Original Issue Date

09/22/2008

Effective Date

09/22/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010