KRISTINA T GABRENYA 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

KRISTINA

Middle

Last Name

GABRENYA

Suffix

Business Name

KRISTINA T GABRENYA OD

Original Issue Date

02/08/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006