DEBRA S KLEIN OD - Optometrist License in Illinois | # 047930812

DEBRA S KLEIN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930812

License Status

CANCELLED

Business

N

Title

OD

First Name

DEBRA

Middle

S

Last Name

KLEIN

Business Name

DEBRA S KLEIN OD

Original Issue Date

12/23/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010