KRISTEN ANN MCDONNELL OD 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

KRISTEN

Middle

ANN

Last Name

MCDONNELL

Suffix

Business Name

KRISTEN ANN MCDONNELL OD

Original Issue Date

11/23/2009

Effective Date

02/16/2012

Expiration Date

03/31/2014

City

NORTHLAKE

State

Zip

60164

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014