BETTY E KLINE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935386

License Status

CANCELLED

Business

Title

First Name

BETTY

Middle

Last Name

KLINE

Business Name

BETTY E KLINE OD

Original Issue Date

06/04/2009

Effective Date

06/04/2009

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010