KENNETH J LOSSMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206871

License Status

CANCELLED

Business

First Name

KENNETH

Middle

Last Name

LOSSMAN

Suffix

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

08/28/1991

Effective Date

03/24/2004

Expiration Date

03/31/2006

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/18/2006