ANDREW PAUL KLUKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929777

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

PAUL

Last Name

KLUKA

Suffix

Business Name

ANDREW PAUL KLUKA OD

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005