ANDREW PAUL KLUKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926108

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

PAUL

Last Name

KLUKA

Suffix

Business Name

ANDREW PAUL KLUKA OD

Original Issue Date

01/29/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005