CAROL LYNN KOPKE OD - Optometrist License in Illinois | # 047930110

CAROL LYNN KOPKE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930110

License Status

CANCELLED

Business

N

First Name

CAROL

Middle

LYNN

Last Name

KOPKE

Suffix

OD

Business Name

CAROL LYNN KOPKE OD

Original Issue Date

04/27/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010