JESSE JACOB FERTIG OD - Optometrist License in Illinois | # 047931200

JESSE JACOB FERTIG OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931200

License Status

CANCELLED

Business

N

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

OD

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

05/20/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010