BETTY E KLINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

Title

First Name

BETTY

Middle

Last Name

KLINE

Business Name

BETTY E KLINE OD

Original Issue Date

03/04/1997

Effective Date

03/18/2020

Expiration Date

05/31/2022

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022