VIVIAN M KLOKE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

ACTIVE

Business

First Name

VIVIAN

Middle

Last Name

KLOKE

Suffix

Business Name

VIVIAN M KLOKE OD

Original Issue Date

06/13/1996

Effective Date

03/02/2026

Expiration Date

03/31/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026