JEFFREY R HENLINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307713

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

HENLINE

Suffix

Business Name

JEFFREY R HENLINE OD

Original Issue Date

03/21/1987

Expiration Date

03/31/1988

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005