KURT E STAUFF Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

KURT E

Last Name

STAUFF

Business Name

KURT E STAUFF

Original Issue Date

01/06/1997

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018