ROMUALD KUZA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935137

License Status

CANCELLED

Business

First Name

ROMUALD

Last Name

KUZA

Suffix

Business Name

ROMUALD KUZA OD

Original Issue Date

03/07/2009

Effective Date

03/07/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010