KRISTEN MARIE BUSKIRK 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

KRISTEN

Middle

MARIE

Last Name

BUSKIRK

Business Name

KRISTEN MARIE BUSKIRK OD

Original Issue Date

07/23/2015

Effective Date

07/23/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016