AUSTIN CODY KROHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

CODY

Last Name

KROHN

Suffix

Business Name

AUSTIN CODY KROHN OD

Original Issue Date

06/04/2008

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021