JORGE A BENAVENTE OD - Optometrist License in Illinois | # 047927845

JORGE A BENAVENTE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927845

License Status

NOT RENEWED

Business

N

First Name

JORGE

Middle

A

Last Name

BENAVENTE

Suffix

OD

Business Name

JORGE A BENAVENTE OD

Original Issue Date

05/01/2001

Effective Date

04/09/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006