MALGORZATA KIWACZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934814

License Status

CANCELLED

Business

Title

First Name

MALGORZATA

Last Name

KIWACZ

Business Name

MALGORZATA KIWACZ OD

Original Issue Date

11/01/2008

Effective Date

11/01/2008

Expiration Date

03/31/2010

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010