KENNETH MARTIN GOSSES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006850

License Status

CANCELLED

Business

First Name

KENNETH MARTIN

Last Name

GOSSES

Business Name

KENNETH MARTIN GOSSES

Original Issue Date

06/03/1977

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005