BETH A KUNKEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

KUNKEL

Suffix

Business Name

BETH A KUNKEL OD

Original Issue Date

10/17/1996

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021