ANDREW PAUL KLUKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007056

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

PAUL

Last Name

KLUKA

Suffix

Business Name

ANDREW PAUL KLUKA OD

Original Issue Date

07/27/1978

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010

Case Number

1993005984

Action

Fine

Discipline Start Date

07/29/1994

Discipline Reason

Failed to possess an ancillary license at two locations.