JEWEL A LEWIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925356

License Status

NOT RENEWED

Business

First Name

JEWEL A

Last Name

LEWIS

Business Name

JEWEL A LEWIS

Original Issue Date

06/16/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005