THADDEUS S DEPUKAT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047025972

License Status

NOT RENEWED

Business

First Name

THADDEUS S

Last Name

DEPUKAT

Business Name

THADDEUS S DEPUKAT

Original Issue Date

04/20/1992

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008