KATHRYN L WILSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

First Name

KATHRYN L

Last Name

WILSON

Business Name

KATHRYN L WILSON

Original Issue Date

08/26/1996

Effective Date

02/25/2010

Expiration Date

03/31/2012

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012