JEWEL A LEWIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008576

License Status

NOT RENEWED

Business

First Name

JEWEL A

Last Name

LEWIS

Business Name

JEWEL A LEWIS

Original Issue Date

08/05/1994

Expiration Date

03/31/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005