THADDEUS S DEPUKAT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005972

License Status

NOT RENEWED

Business

First Name

THADDEUS S

Last Name

DEPUKAT

Business Name

THADDEUS S DEPUKAT

Original Issue Date

02/04/1972

Expiration Date

01/01/1997

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005