FREDERICK JOHN KAHLE JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047057330

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

JOHN

Last Name

KAHLE

Suffix

JR OD

Business Name

FREDERICK JOHN KAHLE JR OD

Original Issue Date

11/19/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005