JEREMY A BEATTY OD - Optometrist License in Illinois | # 047930659

JEREMY A BEATTY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930659

License Status

NOT RENEWED

Business

N

First Name

JEREMY

Middle

A

Last Name

BEATTY

Suffix

OD

Business Name

JEREMY A BEATTY OD

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006