KEVIN L KUKLA OD - Optometrist License in Illinois | # 047078146

KEVIN L KUKLA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047078146

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

L

Last Name

KUKLA

Suffix

OD

Business Name

KEVIN L KUKLA OD

Original Issue Date

04/06/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005