RICHARD CHARLES KERN 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

RICHARD

Middle

CHARLES

Last Name

KERN

Suffix

Business Name

RICHARD CHARLES KERN OD

Original Issue Date

06/04/1996

Effective Date

03/10/2022

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025