ROMAN V KLODNYCKY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934762

License Status

CANCELLED

Business

Title

First Name

ROMAN V

Last Name

KLODNYCKY

Business Name

ROMAN V KLODNYCKY OD

Original Issue Date

10/20/2008

Effective Date

10/20/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010