KYLE DAVID ROSS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

CANCELLED

Business

First Name

KYLE

Middle

DAVID

Last Name

ROSS

Suffix

Business Name

KYLE DAVID ROSS OD

Original Issue Date

06/28/2011

Effective Date

01/19/2012

Expiration Date

03/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014