ANISHA JACOB OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010568

License Status

INACTIVE

Business

Title

First Name

ANISHA

Last Name

JACOB

Business Name

ANISHA JACOB OD

Original Issue Date

06/27/2012

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

02/03/2016