HENRY ETSURO KIKUNAGA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009667

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

ETSURO

Last Name

KIKUNAGA

Suffix

Business Name

HENRY ETSURO KIKUNAGA OD

Original Issue Date

06/24/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008