BETTY E KLINE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934523

License Status

CANCELLED

Business

Title

First Name

BETTY

Middle

Last Name

KLINE

Business Name

BETTY E KLINE OD

Original Issue Date

08/12/2008

Effective Date

08/12/2008

Expiration Date

03/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010