AGNIESZKA JUSTYNA KROL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Middle

JUSTYNA

Last Name

KROL

Business Name

AGNIESZKA JUSTYNA KROL

Original Issue Date

08/26/2019

Effective Date

08/26/2019

Expiration Date

09/30/2020

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021