BRUCE S JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005159

License Status

NOT RENEWED

Business

First Name

BRUCE S

Last Name

JACOBS

Business Name

BRUCE S JACOBS

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/31/2005