KENNETH M SACK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104868

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

SACK

Business Name

KENNETH M SACK

Original Issue Date

05/25/1973

Expiration Date

03/31/1984

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

09/01/2005