KENT A KUNKEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

KENT

Middle

Last Name

KUNKEL

Suffix

Business Name

KENT A KUNKEL OD

Original Issue Date

05/07/1996

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021