JESSE JACOB FERTIG OD - Optometrist License in Illinois | # 047931239

JESSE JACOB FERTIG OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931239

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

06/22/2005

Effective Date

06/22/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006