JAY R EBBESEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007326

License Status

NOT RENEWED

Business

First Name

JAY

Middle

Last Name

EBBESEN

Suffix

Business Name

JAY R EBBESEN OD

Original Issue Date

08/07/1980

Effective Date

03/09/2022

Expiration Date

03/31/2024

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

02/05/2025