ALEX H KOUKLAKIS OD - Optometrist License in Indiana | # 046008111

ALEX H KOUKLAKIS OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008111

License Status

INACTIVE

Business

N

First Name

ALEX

Middle

H

Last Name

KOUKLAKIS

Suffix

OD

Business Name

ALEX H KOUKLAKIS OD

Original Issue Date

08/17/1988

Effective Date

03/19/2004

Expiration Date

03/31/2006

State

IN

Ever Disciplined

Y

LastModifiedDate

05/08/2007

Case Number

1998015747

Action

Fine

Discipline Start Date

05/03/2001

Discipline Reason

Practicing on a non-renewed license.