ANNA MARZEC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

MARZEC

Suffix

Business Name

ANNA MARZEC OD

Original Issue Date

05/18/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008