JEFFREY M PIETRZYK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934681

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

Last Name

PIETRZYK

Suffix

Business Name

JEFFREY M PIETRZYK OD

Original Issue Date

09/25/2008

Effective Date

09/25/2008

Expiration Date

03/31/2010

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010