KARIN SUE BRUECKNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925504

License Status

NOT RENEWED

Business

First Name

KARIN

Middle

SUE

Last Name

BRUECKNER

Suffix

Business Name

KARIN SUE BRUECKNER OD

Original Issue Date

11/17/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005