DEBRA S KLEIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927488

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

Last Name

KLEIN

Business Name

DEBRA S KLEIN OD

Original Issue Date

10/13/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005