NEILAN A JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004390

License Status

NOT RENEWED

Business

First Name

NEILAN A

Last Name

JACOBS

Business Name

NEILAN A JACOBS

Original Issue Date

02/26/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005