KENNETH J LOSSMAN OD - Optometrist License in Illinois | # 047206871

KENNETH J LOSSMAN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206871

License Status

CANCELLED

Business

N

First Name

KENNETH

Middle

J

Last Name

LOSSMAN

Suffix

OD

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

08/28/1991

Effective Date

03/24/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2006