GILBERT A JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925554

License Status

NOT RENEWED

Business

First Name

GILBERT A

Last Name

JACOBS

Business Name

GILBERT A JACOBS

Original Issue Date

02/02/1998

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006