VIVIAN M KLOKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047208375

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

KLOKE

Suffix

Business Name

VIVIAN M KLOKE OD

Original Issue Date

12/27/1991

Expiration Date

03/31/1996

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/01/2005