ANDREW PAUL KLUKA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935332

License Status

CANCELLED

Business

First Name

ANDREW

Middle

PAUL

Last Name

KLUKA

Suffix

Business Name

ANDREW PAUL KLUKA OD

Original Issue Date

05/08/2009

Effective Date

05/08/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010