BETH A KUNKEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

KUNKEL

Suffix

Business Name

BETH A KUNKEL OD

Original Issue Date

07/30/1998

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021