JON W RUSSELL OD - Optometrist License in Illinois | # 047008174

JON W RUSSELL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008174

License Status

NOT RENEWED

Business

N

First Name

JON

Middle

W

Last Name

RUSSELL

Suffix

OD

Business Name

JON W RUSSELL OD

Original Issue Date

05/27/1994

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005