KELLY OLIVER ERNST OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

OLIVER

Last Name

ERNST

Business Name

KELLY OLIVER ERNST OD

Original Issue Date

03/23/2011

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022