JERRY P BOLINO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005648

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

BOLINO

Suffix

Business Name

JERRY P BOLINO OD

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1987002452

Action

Suspension

Discipline Start Date

08/09/1987

Discipline End Date

09/09/1987