KYLE DALE DOHRMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

DALE

Last Name

DOHRMAN

Business Name

KYLE DALE DOHRMAN

Original Issue Date

04/20/2012

Effective Date

03/08/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021