KENNETH MARTIN GOSSES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106850

License Status

NOT RENEWED

Business

First Name

KENNETH MARTIN

Last Name

GOSSES

Business Name

KENNETH MARTIN GOSSES

Original Issue Date

03/16/1979

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/01/2005