ADALINA KULBAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930302

License Status

NOT RENEWED

Business

Title

First Name

ADALINA

Last Name

KULBAK

Business Name

ADALINA KULBAK OD

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2006

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006