JENNY BROOKE FERGUSON - Optometrist License in Illinois | # 047935441

JENNY BROOKE FERGUSON

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935441

License Status

CANCELLED

Business

N

First Name

JENNY

Middle

BROOKE

Last Name

FERGUSON

Business Name

JENNY BROOKE FERGUSON

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010