ANNA MARZEC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

MARZEC

Suffix

Business Name

ANNA MARZEC OD

Original Issue Date

02/21/2008

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012