TRACY LYNN MATCHINSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

NOT RENEWED

Business

Title

First Name

TRACY

Middle

LYNN

Last Name

MATCHINSKI

Business Name

TRACY LYNN MATCHINSKI OD

Original Issue Date

04/14/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006