ADALINA KULBAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

Title

First Name

ADALINA

Last Name

KULBAK

Business Name

ADALINA KULBAK OD

Original Issue Date

04/15/2008

Effective Date

03/22/2010

Expiration Date

03/31/2012

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012