SHARI R JURGENSEN OD - Optometrist License in Illinois | # 047926134

SHARI R JURGENSEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926134

License Status

NOT RENEWED

Business

N

First Name

SHARI R

Last Name

JURGENSEN

Suffix

OD

Business Name

SHARI R JURGENSEN OD

Original Issue Date

02/25/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005