JUSTIN WILLIAM KUCSERA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****37

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

WILLIAM

Last Name

KUCSERA

Suffix

Business Name

JUSTIN WILLIAM KUCSERA OD

Original Issue Date

07/21/2010

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016