JESSE JACOB FERTIG OD - Optometrist License in Illinois | # 047930390

JESSE JACOB FERTIG OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930390

License Status

NOT RENEWED

Business

N

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

OD

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

06/30/2004

Effective Date

11/06/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008