JODI M ALBERT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925573

License Status

CANCELLED

Business

First Name

JODI

Middle

Last Name

ALBERT

Suffix

Business Name

JODI M ALBERT OD

Original Issue Date

03/05/1998

Effective Date

03/15/2002

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005