ROBERT S JUCKETT JR OD

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****06

ACTIVE

N

ROBERT

S

JUCKETT

JR OD

ROBERT S JUCKETT JR OD

04/22/1996

03/06/2026

03/31/2028

PARK RIDGE

IL

60068

COOK

PRACTITIONER

III IV V

N

03/06/2026