KATHLEEN A MAES-PUKALA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008577

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MAES-PUKALA

Suffix

Business Name

KATHLEEN A MAES-PUKALA OD

Original Issue Date

10/28/1992

Effective Date

04/01/2016

Expiration Date

03/31/2018

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

06/19/2018