JENCY MARIAN ELAKKATT - Optometrist License in Illinois | # 047928386

JENCY MARIAN ELAKKATT

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928386

License Status

CANCELLED

Business

N

First Name

JENCY

Middle

MARIAN

Last Name

ELAKKATT

Business Name

JENCY MARIAN ELAKKATT

Original Issue Date

01/29/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010