MICHAEL W KLINE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

INACTIVE

Business

First Name

MICHAEL W

Last Name

KLINE

Business Name

MICHAEL W KLINE

Original Issue Date

08/26/1996

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014