KIRSTEN KLAUSS REYNOLDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930467

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Last Name

KLAUSS REYNOLDS

Suffix

Business Name

KIRSTEN KLAUSS REYNOLDS OD

Original Issue Date

08/13/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008