KENNETH R SHEPARD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006697

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

SHEPARD

Business Name

KENNETH R SHEPARD

Original Issue Date

03/06/1975

Expiration Date

03/31/1986

City

OAKLAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005