DEBORAH L KLESKEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

KLESKEN

Suffix

Business Name

DEBORAH L KLESKEN OD

Original Issue Date

07/16/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006