JACKSON R BENNETT JR OD - Optometrist License in Illinois | # 047007379

JACKSON R BENNETT JR OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007379

License Status

NOT RENEWED

Business

N

First Name

JACKSON

Middle

R

Last Name

BENNETT

Suffix

JR OD

Business Name

JACKSON R BENNETT JR OD

Original Issue Date

07/22/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005