CHRISTINE KAFKA VICERE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

KAFKA

Last Name

VICERE

Suffix

Business Name

CHRISTINE KAFKA VICERE OD

Original Issue Date

04/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010