KELSEY LAUREN FREDERICK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010809

License Status

NOT RENEWED

Business

Title

First Name

KELSEY

Middle

LAUREN

Last Name

FREDERICK

Business Name

KELSEY LAUREN FREDERICK OD

Original Issue Date

06/05/2014

Effective Date

04/01/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025