KENNETH THOMAS DONAUSKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928263

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

THOMAS

Last Name

DONAUSKY

Business Name

KENNETH THOMAS DONAUSKY OD

Original Issue Date

10/31/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005