KENNETH PORTNOY - Optometrist License in Illinois | # 047007059

KENNETH PORTNOY

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007059

License Status

CANCELLED

Business

N

First Name

KENNETH

Last Name

PORTNOY

Business Name

KENNETH PORTNOY

Original Issue Date

10/04/1979

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005