ROBERT F KENNETT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KENNETT

Suffix

Business Name

ROBERT F KENNETT OD

Original Issue Date

03/22/1996

Effective Date

03/01/2010

Expiration Date

03/31/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012