LEWIS R KENYON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005577

License Status

NOT RENEWED

Business

First Name

LEWIS R

Last Name

KENYON

Business Name

LEWIS R KENYON

Original Issue Date

01/02/1987

Expiration Date

03/31/1990

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005