KENNETH J LOSSMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935398

License Status

CANCELLED

Business

First Name

KENNETH

Middle

Last Name

LOSSMAN

Suffix

Business Name

KENNETH J LOSSMAN OD

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

03/31/2010

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010