FREDERICK JOHN KAHLE JR OD - Optometrist License in Illinois | # 047933516

FREDERICK JOHN KAHLE JR OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933516

License Status

CANCELLED

Business

N

First Name

FREDERICK

Middle

JOHN

Last Name

KAHLE

Suffix

JR OD

Business Name

FREDERICK JOHN KAHLE JR OD

Original Issue Date

10/29/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010