TAYLOR JEAN CHESNUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011234

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

JEAN

Last Name

CHESNUT

Business Name

TAYLOR JEAN CHESNUT

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

09/30/2020

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/14/2021