ANDREW DAVID MAKELA OD - Optometrist License in Illinois | # 047931322

ANDREW DAVID MAKELA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931322

License Status

CANCELLED

Business

N

First Name

ANDREW

Middle

DAVID

Last Name

MAKELA

Suffix

OD

Business Name

ANDREW DAVID MAKELA OD

Original Issue Date

08/03/2005

Effective Date

08/15/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005