CAROL LYNN KOPKE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930110

License Status

CANCELLED

Business

First Name

CAROL

Middle

LYNN

Last Name

KOPKE

Suffix

Business Name

CAROL LYNN KOPKE OD

Original Issue Date

04/27/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010