BRETT WILLIAM KJELLEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009261

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

WILLIAM

Last Name

KJELLEN

Suffix

Business Name

BRETT WILLIAM KJELLEN OD

Original Issue Date

07/05/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005