LAUREN DANIELLE JORDAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010664

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

DANIELLE

Last Name

JORDAN

Business Name

LAUREN DANIELLE JORDAN OD

Original Issue Date

06/06/2013

Effective Date

02/16/2016

Expiration Date

03/31/2018

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018