JENNIFER SUSAN MAHURIN OD - Optometrist License in Illinois | # 047927716

JENNIFER SUSAN MAHURIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927716

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

SUSAN

Last Name

MAHURIN

Suffix

OD

Business Name

JENNIFER SUSAN MAHURIN OD

Original Issue Date

02/02/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005