RAYMOND H JURGENSEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006279

License Status

NOT RENEWED

Business

First Name

RAYMOND H

Last Name

JURGENSEN

Business Name

RAYMOND H JURGENSEN

Effective Date

02/09/2004

Expiration Date

03/31/2006

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006