JEFFERY W SMITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007637

License Status

NOT RENEWED

Business

First Name

JEFFERY W

Last Name

SMITH

Business Name

JEFFERY W SMITH

Original Issue Date

09/24/1988

Expiration Date

03/31/1994

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005