KIMBERLY L GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GUNDERSON

Suffix

Business Name

KIMBERLY L GUNDERSON OD

Original Issue Date

02/14/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

VIENNA

State

Zip

62995

County

JOHNSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008