KIRSTEN KLAUSS REYNOLDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Last Name

KLAUSS REYNOLDS

Suffix

Business Name

KIRSTEN KLAUSS REYNOLDS OD

Original Issue Date

12/26/1997

Effective Date

02/22/2010

Expiration Date

03/31/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012