KEVIN L KUKLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008146

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

KUKLA

Suffix

Business Name

KEVIN L KUKLA OD

Original Issue Date

01/24/1989

Expiration Date

03/31/1992

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/01/2005