LEON J KOSEK JR OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****45

License Status

INACTIVE

Business

First Name

LEON

Middle

Last Name

KOSEK

Suffix

JR OD

Business Name

LEON J KOSEK JR OD

Original Issue Date

09/06/1996

Effective Date

03/31/2022

Expiration Date

03/31/2024

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/04/2024