DAVID WALTER KISIOLEK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007364

License Status

NOT RENEWED

Business

First Name

DAVID WALTER

Last Name

KISIOLEK

Business Name

DAVID WALTER KISIOLEK

Original Issue Date

08/07/1980

Expiration Date

05/01/1982

City

SHEBOYGAN

State

Zip

53081

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005