FREDERICK JOHN KAHLE JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928502

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

03/25/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005