KENNETH J ROSENGREN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

ROSENGREN

Business Name

KENNETH J ROSENGREN

Original Issue Date

04/07/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006