KEITH KOWALSKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007882

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

KOWALSKE

Suffix

Business Name

KEITH KOWALSKE OD

Original Issue Date

12/03/1985

Effective Date

04/02/2014

Expiration Date

03/31/2016

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016

Case Number

1996011841

Action

Fine

Discipline Start Date

04/16/1997

Discipline Reason

Failed to submit proof of required continuing education hours.