GREGORY D JACKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006736

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

JACKSON

Suffix

Business Name

GREGORY D JACKSON OD

Original Issue Date

01/02/1987

Expiration Date

03/31/1992

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/01/2005