MALGORZATA KIWACZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935265

License Status

CANCELLED

Business

Title

First Name

MALGORZATA

Last Name

KIWACZ

Business Name

MALGORZATA KIWACZ OD

Original Issue Date

04/18/2009

Effective Date

04/18/2009

Expiration Date

03/31/2010

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010