FERNAND FELIPE JIMENEZ OD - Optometrist License in Illinois | # 047935346

FERNAND FELIPE JIMENEZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935346

License Status

CANCELLED

Business

N

First Name

FERNAND

Middle

FELIPE

Last Name

JIMENEZ

Suffix

OD

Business Name

FERNAND FELIPE JIMENEZ OD

Original Issue Date

05/18/2009

Effective Date

05/18/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010