JAY CHARLES BLACK - Optometrist License in Illinois | # 046006709

JAY CHARLES BLACK

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006709

License Status

NOT RENEWED

Business

N

First Name

JAY CHARLES

Last Name

BLACK

Business Name

JAY CHARLES BLACK

Original Issue Date

07/18/1975

Effective Date

03/12/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022