RANDALL DEAN KITTLE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935773

License Status

CANCELLED

Business

First Name

RANDALL DEAN

Last Name

KITTLE

Business Name

RANDALL DEAN KITTLE

Original Issue Date

10/13/2009

Effective Date

10/13/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010