MICHAEL D MACEK OD - Optometrist License in Illinois | # 047935657

MICHAEL D MACEK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935657

License Status

CANCELLED

Business

N

First Name

MICHAEL

Middle

D

Last Name

MACEK

Suffix

OD

Business Name

MICHAEL D MACEK OD

Original Issue Date

09/02/2009

Effective Date

09/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010