RICHARD J SUROWIAK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935091

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

SUROWIAK

Suffix

Business Name

RICHARD J SUROWIAK OD

Original Issue Date

02/18/2009

Effective Date

02/18/2009

Expiration Date

03/31/2010

City

MCHENRY

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010