MARK A KLEINDORFER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****77

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

KLEINDORFER

Suffix

Business Name

MARK A KLEINDORFER OD

Original Issue Date

06/04/1996

Effective Date

03/05/2022

Expiration Date

03/31/2024

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025