KATHLEEN A MAES-PUKALA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926120

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MAES-PUKALA

Suffix

Business Name

KATHLEEN A MAES-PUKALA OD

Original Issue Date

02/11/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005