GARY P STERCZEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

STERCZEK

Suffix

Business Name

GARY P STERCZEK OD

Original Issue Date

09/26/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006