KIMBERLY LYNNE SHENBERGER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****47

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNNE

Last Name

SHENBERGER

Suffix

Business Name

KIMBERLY LYNNE SHENBERGER OD

Original Issue Date

01/23/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

DAKOTA

State

Zip

61018

County

STEPHENSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005