ALEX H KOUKLAKIS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008111

License Status

INACTIVE

Business

First Name

ALEX

Middle

Last Name

KOUKLAKIS

Suffix

Business Name

ALEX H KOUKLAKIS OD

Original Issue Date

08/17/1988

Effective Date

03/19/2004

Expiration Date

03/31/2006

City

MERRILLVILLE

State

Zip

46410

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2007

Case Number

1998015747

Action

Reprimand

Discipline Start Date

05/03/2001

Discipline Reason

Practicing on a non-renewed license.