ADALINA KULBAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028697

License Status

NOT RENEWED

Business

Title

First Name

ADALINA

Last Name

KULBAK

Business Name

ADALINA KULBAK OD

Original Issue Date

06/24/1994

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005