FREDERICK JOHN KAHLE JR OD - Optometrist License in Illinois | # 047928502

FREDERICK JOHN KAHLE JR OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928502

License Status

NOT RENEWED

Business

N

First Name

FREDERICK

Middle

JOHN

Last Name

KAHLE

Suffix

JR OD

Business Name

FREDERICK JOHN KAHLE JR OD

Original Issue Date

03/25/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005