KEVIN JAY CHILDERS OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

JAY

Last Name

CHILDERS

Business Name

KEVIN JAY CHILDERS OD

Original Issue Date

04/17/1996

Effective Date

01/06/2024

Expiration Date

03/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026