KENNETH M WULFFEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

CANCELLED

Business

First Name

KENNETH M

Last Name

WULFFEN

Business Name

KENNETH M WULFFEN

Original Issue Date

10/07/1999

Effective Date

03/16/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008