ADALINA KULBAK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

CANCELLED

Business

Title

First Name

ADALINA

Last Name

KULBAK

Business Name

ADALINA KULBAK OD

Original Issue Date

02/02/2000

Effective Date

06/01/2006

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008