AUSTIN CODY KROHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

CODY

Last Name

KROHN

Suffix

Business Name

AUSTIN CODY KROHN OD

Original Issue Date

05/29/2008

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014