JEFFREY R HENLINE OD - Optometrist License in Illinois | # 047931168

JEFFREY R HENLINE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931168

License Status

CANCELLED

Business

N

First Name

JEFFREY

Middle

R

Last Name

HENLINE

Suffix

OD

Business Name

JEFFREY R HENLINE OD

Original Issue Date

05/09/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010