KEVIN T GRALAK OD - Optometrist License in Illinois | # 047930438

KEVIN T GRALAK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930438

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

08/12/2004

Effective Date

08/12/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006