KARIN SUE BRUECKNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925506

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

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005