KYLE D MAYGINNES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****31

License Status

NOT RENEWED

Business

First Name

KYLE D

Last Name

MAYGINNES

Business Name

KYLE D MAYGINNES

Original Issue Date

05/30/1996

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025