STEPHANIE ANN KLEMENCIC OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

KLEMENCIC

Suffix

Business Name

STEPHANIE ANN KLEMENCIC OD

Original Issue Date

06/13/2007

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

BLUE ASH

State

Zip

45242

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021