BETTY E KLINE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933154

License Status

CANCELLED

Business

Title

First Name

BETTY

Middle

Last Name

KLINE

Business Name

BETTY E KLINE OD

Original Issue Date

07/15/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010