JEFFREY SCOTT PORTER OD - Optometrist License in Illinois | # 047929449

JEFFREY SCOTT PORTER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929449

License Status

CANCELLED

Business

N

First Name

JEFFREY

Middle

SCOTT

Last Name

PORTER

Suffix

OD

Business Name

JEFFREY SCOTT PORTER OD

Original Issue Date

05/06/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010