JORDAN FREDERICK KEITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010304

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

FREDERICK

Last Name

KEITH

Business Name

JORDAN FREDERICK KEITH

Original Issue Date

09/21/2009

Effective Date

03/12/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016