SANELA PUSKAR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930807

License Status

NOT RENEWED

Business

First Name

SANELA

Last Name

PUSKAR

Suffix

Business Name

SANELA PUSKAR OD

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006