KENNETH R SHEPARD - Optometrist License in Illinois | # 047106697

KENNETH R SHEPARD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106697

License Status

NOT RENEWED

Business

N

First Name

KENNETH R

Last Name

SHEPARD

Business Name

KENNETH R SHEPARD

Original Issue Date

09/02/1982

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005