MICHAEL VINCENT PASKVAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935691

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

VINCENT

Last Name

PASKVAN

Business Name

MICHAEL VINCENT PASKVAN OD

Original Issue Date

09/17/2009

Effective Date

09/17/2009

Expiration Date

03/31/2010

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010