MARK E KOSCIUSZKO Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007545

License Status

INACTIVE

Business

First Name

MARK E

Last Name

KOSCIUSZKO

Business Name

MARK E KOSCIUSZKO

Original Issue Date

08/03/1982

Expiration Date

03/31/1986

City

COMSTOCK PARK

State

Zip

49321

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005