JONATHAN LANGEVIN KINGSLEY Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****67

License Status

INACTIVE

Business

First Name

JONATHAN

Middle

LANGEVIN

Last Name

KINGSLEY

Business Name

JONATHAN LANGEVIN KINGSLEY

Original Issue Date

08/03/2023

Effective Date

02/23/2024

Expiration Date

03/31/2026

City

SWANSEA

State

Zip

62226

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026