JENNIFER JOY MALPASS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007265

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JOY

Last Name

MALPASS

Suffix

Business Name

JENNIFER JOY MALPASS OD

Original Issue Date

01/02/1987

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005