KEVIN T GRALAK OD - Optometrist License in Illinois | # 047929741

KEVIN T GRALAK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929741

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

T

Last Name

GRALAK

Suffix

OD

Business Name

KEVIN T GRALAK OD

Original Issue Date

10/15/2003

Effective Date

10/18/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006