KRISTEN A LANGNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

LANGNER

Suffix

Business Name

KRISTEN A LANGNER OD

Original Issue Date

08/04/2003

Effective Date

02/25/2004

Expiration Date

03/31/2006

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006