PAULINE PAKLA BUBANKO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935294

License Status

CANCELLED

Business

First Name

PAULINE

Middle

PAKLA

Last Name

BUBANKO

Suffix

Business Name

PAULINE PAKLA BUBANKO OD

Original Issue Date

04/25/2009

Effective Date

04/25/2009

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010