KENNETH A SCHAIDLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932636

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

SCHAIDLE

Business Name

KENNETH A SCHAIDLE OD

Original Issue Date

11/09/2006

Effective Date

11/09/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

06/24/2009