DAVID W JACKSON OD - Optometrist License in Illinois | # 047028452

DAVID W JACKSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028452

License Status

NOT RENEWED

Business

N

First Name

DAVID W

Last Name

JACKSON

Suffix

OD

Business Name

DAVID W JACKSON OD

Original Issue Date

05/08/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005