ANNA MARZEC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

MARZEC

Suffix

Business Name

ANNA MARZEC OD

Original Issue Date

12/02/2004

Effective Date

12/02/2004

Expiration Date

03/31/2006

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006