KRISTOPHER M OWENS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931301

License Status

CANCELLED

Business

First Name

KRISTOPHER

Middle

Last Name

OWENS

Suffix

Business Name

KRISTOPHER M OWENS OD

Original Issue Date

07/29/2005

Effective Date

07/29/2005

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

01/18/2006