KENNETH M SACK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004868

License Status

CANCELLED

Business

First Name

KENNETH M

Last Name

SACK

Business Name

KENNETH M SACK

Expiration Date

01/01/1997

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

09/01/2005