THEODORE E JENNINGS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047026393

License Status

NOT RENEWED

Business

First Name

THEODORE E

Last Name

JENNINGS

Business Name

THEODORE E JENNINGS

Original Issue Date

05/29/1996

Expiration Date

03/31/1998

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005