ALEXANDER A KOSTIN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004352

License Status

CANCELLED

Business

First Name

ALEXANDER A

Last Name

KOSTIN

Business Name

ALEXANDER A KOSTIN

Original Issue Date

06/18/1979

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005