KENNETH JOSEPH KOSTELNIK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007203

License Status

NOT RENEWED

Business

First Name

KENNETH JOSEPH

Last Name

KOSTELNIK

Business Name

KENNETH JOSEPH KOSTELNIK

Original Issue Date

08/06/1979

Expiration Date

01/01/1997

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/31/2005