GREGORY D JACKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006736

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

JACKSON

Suffix

Business Name

GREGORY D JACKSON OD

Original Issue Date

07/18/1975

Effective Date

03/03/2020

Expiration Date

05/31/2022

City

BATAVIA

State

Zip

60510

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022