ANDREW DAVID MAKELA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931139

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

DAVID

Last Name

MAKELA

Suffix

Business Name

ANDREW DAVID MAKELA OD

Original Issue Date

04/26/2005

Effective Date

04/26/2005

Expiration Date

03/31/2006

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006