KRISTOPHER M OWENS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****68

License Status

NOT RENEWED

Business

First Name

KRISTOPHER

Middle

Last Name

OWENS

Suffix

Business Name

KRISTOPHER M OWENS OD

Original Issue Date

10/31/2000

Effective Date

02/13/2004

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006