LUKE G FULLENKAMP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010518

License Status

NOT RENEWED

Business

Title

First Name

LUKE

Middle

Last Name

FULLENKAMP

Business Name

LUKE G FULLENKAMP OD

Original Issue Date

09/29/2011

Effective Date

09/29/2011

Expiration Date

03/31/2012

City

CINCINNATI

State

Zip

45241

County

OHIO

Ever Disciplined

LastModifiedDate

05/16/2012