DEBRA S KLEIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

Last Name

KLEIN

Business Name

DEBRA S KLEIN OD

Original Issue Date

01/03/2006

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021