ANISHA JACOB OD - Optometrist License in Illinois | # 046010568

ANISHA JACOB OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010568

License Status

INACTIVE

Business

N

Title

OD

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/03/2016