JACQUELINE M CARLOCK OD - Optometrist License in Illinois | # 047018666

JACQUELINE M CARLOCK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018666

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

M

Last Name

CARLOCK

Suffix

OD

Business Name

JACQUELINE M CARLOCK OD

Original Issue Date

07/22/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005