KENNETH PORTNOY - Optometrist License in Illinois | # 047928506

KENNETH PORTNOY

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928506

License Status

CANCELLED

Business

N

First Name

KENNETH

Last Name

PORTNOY

Business Name

KENNETH PORTNOY

Original Issue Date

03/26/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010