KELLY LYNN KLEIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935641

License Status

CANCELLED

Business

First Name

KELLY

Middle

LYNN

Last Name

KLEIN

Suffix

Business Name

KELLY LYNN KLEIN OD

Original Issue Date

08/27/2009

Effective Date

08/27/2009

Expiration Date

03/31/2010

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

05/04/2010