KATHLEEN M RIVERA-KUNZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

RIVERA-KUNZ

Business Name

KATHLEEN M RIVERA-KUNZ

Original Issue Date

10/19/1996

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021