JOY HELEN GOFFRON-KLUGE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

JOY

Middle

HELEN

Last Name

GOFFRON-KLUGE

Suffix

Business Name

JOY HELEN GOFFRON-KLUGE OD

Original Issue Date

08/16/2002

Effective Date

03/19/2004

Expiration Date

03/31/2006

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006