THEODORE E JENNINGS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047036393

License Status

NOT RENEWED

Business

First Name

THEODORE E

Last Name

JENNINGS

Business Name

THEODORE E JENNINGS

Original Issue Date

01/08/1997

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005