RUDOLPH E FLASKA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027041

License Status

NOT RENEWED

Business

First Name

RUDOLPH E

Last Name

FLASKA

Business Name

RUDOLPH E FLASKA

Original Issue Date

10/17/1992

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005