KEVIN M JARA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008830

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

JARA

Suffix

Business Name

KEVIN M JARA OD

Original Issue Date

10/24/1995

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005