STEPHANIE A KOSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011620

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

Last Name

KOSS

Business Name

STEPHANIE A KOSS OD

Original Issue Date

06/07/2022

Effective Date

06/07/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025