FREDERICK JOHN KAHLE JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931248

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

06/29/2005

Effective Date

06/29/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006