KIRSTEN KLAUSS REYNOLDS 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

KIRSTEN

Last Name

KLAUSS REYNOLDS

Suffix

Business Name

KIRSTEN KLAUSS REYNOLDS OD

Original Issue Date

10/24/2011

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021