DEBRA S KLEIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930812

License Status

CANCELLED

Business

Title

First Name

DEBRA

Middle

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

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010