KENNETH A SCHAIDLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928058

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

SCHAIDLE

Business Name

KENNETH A SCHAIDLE OD

Original Issue Date

08/15/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005