AUSTIN CODY KROHN OD - Optometrist License in Illinois | # 047934130

AUSTIN CODY KROHN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934130

License Status

CANCELLED

Business

N

First Name

AUSTIN

Middle

CODY

Last Name

KROHN

Suffix

OD

Business Name

AUSTIN CODY KROHN OD

Original Issue Date

04/22/2008

Effective Date

04/22/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010