KENT A KORNEISEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927615

License Status

NOT RENEWED

Business

First Name

KENT A

Last Name

KORNEISEL

Business Name

KENT A KORNEISEL

Original Issue Date

11/21/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/21/2006