JON W RUSSELL OD - Optometrist License in Illinois | # 047933669

JON W RUSSELL OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933669

License Status

CANCELLED

Business

N

First Name

JON

Middle

W

Last Name

RUSSELL

Suffix

OD

Business Name

JON W RUSSELL OD

Original Issue Date

01/02/2008

Effective Date

01/02/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010