JENNIFER ANN VICENTE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011142

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

ANN

Last Name

VICENTE

Business Name

JENNIFER ANN VICENTE OD

Original Issue Date

07/31/2017

Effective Date

01/10/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60622

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

07/27/2022