LUKE G FULLENKAMP OD - Optometrist License in Ohio | # 046010518

LUKE G FULLENKAMP OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010518

License Status

NOT RENEWED

Business

N

Title

OD

First Name

LUKE

Middle

G

Last Name

FULLENKAMP

Business Name

LUKE G FULLENKAMP OD

Original Issue Date

09/29/2011

Effective Date

09/29/2011

Expiration Date

03/31/2012

State

OH

Ever Disciplined

N

LastModifiedDate

05/16/2012