JACK L HOLLENBECK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005530

License Status

CANCELLED

Business

First Name

JACK L

Last Name

HOLLENBECK

Business Name

JACK L HOLLENBECK

Original Issue Date

06/17/1974

Expiration Date

01/01/1997

City

ARLINGTON HTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005