KEVIN L KUKLA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934398

License Status

CANCELLED

Business

First Name

KEVIN

Middle

Last Name

KUKLA

Suffix

Business Name

KEVIN L KUKLA OD

Original Issue Date

07/14/2008

Effective Date

07/14/2008

Expiration Date

03/31/2010

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010