PAULINE PAKLA BUBANKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933540

License Status

NOT RENEWED

Business

First Name

PAULINE

Middle

PAKLA

Last Name

BUBANKO

Suffix

Business Name

PAULINE PAKLA BUBANKO OD

Original Issue Date

11/01/2007

Effective Date

11/01/2007

Expiration Date

03/31/2008

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008