HENRY ETSURO KIKUNAGA OD - Optometrist License in Illinois | # 047930532

HENRY ETSURO KIKUNAGA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930532

License Status

NOT RENEWED

Business

N

First Name

HENRY

Middle

ETSURO

Last Name

KIKUNAGA

Suffix

OD

Business Name

HENRY ETSURO KIKUNAGA OD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006