KENNETH G FORSYTHE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006176

License Status

NOT RENEWED

Business

First Name

KENNETH G

Last Name

FORSYTHE

Business Name

KENNETH G FORSYTHE

Expiration Date

01/01/1997

City

WISCONSIN DELLS

State

Zip

53965

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005