RANDALL DEAN KITTLE Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

ACTIVE

Business

First Name

RANDALL DEAN

Last Name

KITTLE

Business Name

RANDALL DEAN KITTLE

Original Issue Date

04/18/1997

Effective Date

03/19/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/19/2026