JERRY T LEBEAU OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008258

License Status

NOT RENEWED

Business

First Name

JERRY T

Last Name

LEBEAU

Suffix

Business Name

JERRY T LEBEAU OD

Original Issue Date

02/15/1990

Expiration Date

03/31/1992

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/31/2005