JACK E BALDWIN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005761

License Status

NOT RENEWED

Business

First Name

JACK E

Last Name

BALDWIN

Business Name

JACK E BALDWIN

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005