KATHLEEN M RIVERA-KUNZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

RIVERA-KUNZ

Business Name

KATHLEEN M RIVERA-KUNZ

Original Issue Date

03/18/1997

Effective Date

01/17/2014

Expiration Date

03/31/2016

City

CARLYLE

State

Zip

62231

County

CLINTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016