KATHLEEN M RIVERA-KUNZ 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

KATHLEEN M

Last Name

RIVERA-KUNZ

Business Name

KATHLEEN M RIVERA-KUNZ

Original Issue Date

10/18/1996

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021