RICHARD MARK ZAJICEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

Title

First Name

RICHARD MARK

Last Name

ZAJICEK

Business Name

RICHARD MARK ZAJICEK OD

Original Issue Date

09/11/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010