BETH A KUNKEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008410

License Status

CANCELLED

Business

First Name

BETH A

Last Name

KUNKEL

Suffix

Business Name

BETH A KUNKEL OD

Original Issue Date

11/14/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

05/04/2010