ANDREW PAUL KLUKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

PAUL

Last Name

KLUKA

Suffix

Business Name

ANDREW PAUL KLUKA OD

Original Issue Date

11/13/2001

Effective Date

03/27/2002

Expiration Date

03/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006