PHILLIP L KAUFMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

KAUFMAN

Suffix

Business Name

PHILLIP L KAUFMAN OD

Original Issue Date

05/30/1996

Effective Date

04/08/2014

Expiration Date

03/31/2016

City

CRETE

State

Zip

60417

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016