CAROL LYNN KOPKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928130

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

LYNN

Last Name

KOPKE

Suffix

Business Name

CAROL LYNN KOPKE OD

Original Issue Date

09/04/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005