KEVIN L KUKLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047078146

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

KUKLA

Suffix

Business Name

KEVIN L KUKLA OD

Original Issue Date

04/06/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005