LEON F KUBICKI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931328

License Status

CANCELLED

Business

First Name

LEON

Middle

Last Name

KUBICKI

Suffix

Business Name

LEON F KUBICKI OD

Original Issue Date

08/05/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010