BETH A KUNKEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018410

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

KUNKEL

Suffix

Business Name

BETH A KUNKEL OD

Original Issue Date

12/02/1994

Expiration Date

03/31/1998

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/01/2005