KENNETH THOMAS DONAUSKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

THOMAS

Last Name

DONAUSKY

Business Name

KENNETH THOMAS DONAUSKY OD

Original Issue Date

01/09/2003

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

LOCKPORT

State

Zip

60441

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006