KENNETH J LOSSMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925592

License Status

CANCELLED

Business

First Name

KENNETH

Middle

Last Name

LOSSMAN

Suffix

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

04/17/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010