YANNA T KISALA 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

YANNA

Middle

Last Name

KISALA

Business Name

YANNA T KISALA

Original Issue Date

10/02/2008

Effective Date

10/02/2008

Expiration Date

03/31/2010

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

05/04/2010