KYLE DAVID ROSS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010472

License Status

INACTIVE

Business

First Name

KYLE

Middle

DAVID

Last Name

ROSS

Suffix

Business Name

KYLE DAVID ROSS OD

Original Issue Date

06/28/2011

Effective Date

01/19/2012

Expiration Date

03/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014