KENNETH R MUELLER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****17

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

MUELLER

Business Name

KENNETH R MUELLER

Original Issue Date

03/28/2008

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021