MICHAEL D MACEK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935657

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

MACEK

Suffix

Business Name

MICHAEL D MACEK OD

Original Issue Date

09/02/2009

Effective Date

09/02/2009

Expiration Date

03/31/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010