JOHN MARK HOLICKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****66

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARK

Last Name

HOLICKA

Suffix

Business Name

JOHN MARK HOLICKA OD

Original Issue Date

07/03/1996

Effective Date

03/04/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018