KEVIN L KUKLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926725

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

KUKLA

Suffix

Business Name

KEVIN L KUKLA OD

Original Issue Date

01/18/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005