KATHLEEN M RIVERA-KUNZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028908

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

RIVERA-KUNZ

Business Name

KATHLEEN M RIVERA-KUNZ

Original Issue Date

09/19/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005