KERALYN M TOTTEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

Title

First Name

KERALYN

Middle

Last Name

TOTTEN

Business Name

KERALYN M TOTTEN OD

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021