CASIMIR J KUSH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931214

License Status

NOT RENEWED

Business

First Name

CASIMIR J

Last Name

KUSH

Business Name

CASIMIR J KUSH

Original Issue Date

05/26/2005

Effective Date

05/26/2005

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006