JENCY MARIAN ELAKKATT - Optometrist License in Illinois | # 047933335

JENCY MARIAN ELAKKATT

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933335

License Status

NOT RENEWED

Business

N

First Name

JENCY

Middle

MARIAN

Last Name

ELAKKATT

Business Name

JENCY MARIAN ELAKKATT

Original Issue Date

08/25/2007

Effective Date

08/25/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008