EMILY ROSE KONCZAL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

ROSE

Last Name

KONCZAL

Suffix

Business Name

EMILY ROSE KONCZAL OD

Original Issue Date

11/25/2008

Effective Date

03/24/2014

Expiration Date

03/31/2016

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016