KATHLEEN LYNNE VIZE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LYNNE

Last Name

VIZE

Suffix

Business Name

KATHLEEN LYNNE VIZE OD

Original Issue Date

06/26/2002

Effective Date

03/12/2014

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016