KATARI DOTTRELE CAMPBELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****49

License Status

NOT RENEWED

Business

Title

First Name

KATARI

Middle

DOTTRELE

Last Name

CAMPBELL

Business Name

KATARI DOTTRELE CAMPBELL OD

Original Issue Date

01/13/2017

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021