MELISSA ANNE SUCKOW OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935242

License Status

CANCELLED

Business

First Name

MELISSA

Middle

ANNE

Last Name

SUCKOW

Suffix

Business Name

MELISSA ANNE SUCKOW OD

Original Issue Date

04/10/2009

Effective Date

04/10/2009

Expiration Date

03/31/2010

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010