SARAH B KLEIN 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

SARAH

Middle

Last Name

KLEIN

Suffix

Business Name

SARAH B KLEIN OD

Original Issue Date

06/21/2006

Effective Date

03/13/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014