KURT KENNETH NELSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106883

License Status

CANCELLED

Business

First Name

KURT KENNETH

Last Name

NELSON

Business Name

KURT KENNETH NELSON

Original Issue Date

05/31/1984

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/10/2008