KRISTIN ALLISON COLONNA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

ALLISON

Last Name

COLONNA

Business Name

KRISTIN ALLISON COLONNA

Original Issue Date

08/02/2010

Effective Date

04/18/2014

Expiration Date

03/31/2016

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016