MARY JACOBSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925734

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

JACOBSON

Suffix

Business Name

MARY JACOBSON OD

Original Issue Date

06/12/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005