JEFFREY SCOTT PORTER OD - Optometrist License in Illinois | # 047926529

JEFFREY SCOTT PORTER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926529

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

SCOTT

Last Name

PORTER

Suffix

OD

Business Name

JEFFREY SCOTT PORTER OD

Original Issue Date

10/20/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005