KENNETH PORTNOY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928506

License Status

CANCELLED

Business

First Name

KENNETH

Last Name

PORTNOY

Business Name

KENNETH PORTNOY

Original Issue Date

03/26/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010