THADDEUS S DEPUKAT - Optometrist License in Illinois | # 047005972

THADDEUS S DEPUKAT

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005972

License Status

NOT RENEWED

Business

N

First Name

THADDEUS S

Last Name

DEPUKAT

Business Name

THADDEUS S DEPUKAT

Original Issue Date

02/04/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005