CAROL LYNN KOPKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

LYNN

Last Name

KOPKE

Suffix

Business Name

CAROL LYNN KOPKE OD

Original Issue Date

09/04/2001

Effective Date

03/28/2012

Expiration Date

03/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014