JACQUELINE M CARLOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008666

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

CARLOCK

Suffix

Business Name

JACQUELINE M CARLOCK OD

Original Issue Date

09/27/1994

Expiration Date

03/31/1998

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/01/2005