FERNAND FELIPE JIMENEZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010191

License Status

NOT RENEWED

Business

First Name

FERNAND

Middle

FELIPE

Last Name

JIMENEZ

Suffix

Business Name

FERNAND FELIPE JIMENEZ OD

Original Issue Date

03/17/2009

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2015