PAULINE PAKLA BUBANKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931289

License Status

NOT RENEWED

Business

First Name

PAULINE

Middle

PAKLA

Last Name

BUBANKO

Suffix

Business Name

PAULINE PAKLA BUBANKO OD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

03/31/2006

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006