JOHN PHILIP LACZKOWSKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006542

License Status

NOT RENEWED

Business

First Name

JOHN PHILIP

Last Name

LACZKOWSKI

Business Name

JOHN PHILIP LACZKOWSKI

Original Issue Date

08/21/1973

Expiration Date

01/01/1997

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005