KENNETH J LOSSMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006871

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

LOSSMAN

Suffix

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

09/20/1977

Expiration Date

03/31/1986

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005