JACK E BALDWIN - Optometrist License in Illinois | # 047005761

JACK E BALDWIN

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005761

License Status

CANCELLED

Business

N

First Name

JACK E

Last Name

BALDWIN

Business Name

JACK E BALDWIN

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005