KRISTIN T NELSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****44

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

Last Name

NELSON

Business Name

KRISTIN T NELSON OD

Original Issue Date

05/28/2020

Effective Date

03/10/2022

Expiration Date

03/31/2024

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025