FRANKLIN JAY RIVENSON OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009267

License Status

INACTIVE

Business

First Name

FRANKLIN

Middle

JAY

Last Name

RIVENSON

Suffix

Business Name

FRANKLIN JAY RIVENSON OD

Original Issue Date

07/06/2000

Effective Date

03/19/2004

Expiration Date

03/31/2004

City

WEST DUNDEE

State

Zip

60118

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005