KENNETH J LOSSMAN OD - Optometrist License in Illinois | # 047935398

KENNETH J LOSSMAN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935398

License Status

CANCELLED

Business

N

First Name

KENNETH

Middle

J

Last Name

LOSSMAN

Suffix

OD

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010