KATHLEEN A MAES-PUKALA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925990

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MAES-PUKALA

Suffix

Business Name

KATHLEEN A MAES-PUKALA OD

Original Issue Date

11/17/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005