JACK L HOLLENBECK - Optometrist License in Illinois | # 047005530

JACK L HOLLENBECK

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005530

License Status

CANCELLED

Business

N

First Name

JACK L

Last Name

HOLLENBECK

Business Name

JACK L HOLLENBECK

Original Issue Date

06/17/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005