KENNETH J LOSSMAN OD - Optometrist License in Illinois | # 047006871

KENNETH J LOSSMAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006871

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

J

Last Name

LOSSMAN

Suffix

OD

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

09/20/1977

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005