ANDREW DAVID MAKELA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931322

License Status

CANCELLED

Business

First Name

ANDREW

Middle

DAVID

Last Name

MAKELA

Suffix

Business Name

ANDREW DAVID MAKELA OD

Original Issue Date

08/03/2005

Effective Date

08/15/2005

Expiration Date

03/31/2006

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005