JACKSON R BENNETT JR OD

Business Entity
ACTIVE

Optometrist

LICENSED OPTOMETRIST

046007379

ACTIVE

N

JACKSON

R

BENNETT

JR OD

JACKSON R BENNETT JR OD

08/07/1980

03/04/2026

03/31/2028

IL

Y

03/04/2026

1992005864

Fine

02/05/1993

Failed to possess an ancillary license for their secondary location.