STEVEN ANDREW BUBANKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928518

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

ANDREW

Last Name

BUBANKO

Suffix

Business Name

STEVEN ANDREW BUBANKO OD

Original Issue Date

04/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005