HENRY ETSURO KIKUNAGA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930533

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

ETSURO

Last Name

KIKUNAGA

Suffix

Business Name

HENRY ETSURO KIKUNAGA OD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006