JILL C INGELSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926112

License Status

NOT RENEWED

Business

Title

First Name

JILL

Middle

Last Name

INGELSE

Business Name

JILL C INGELSE OD

Original Issue Date

02/08/1999

Effective Date

02/10/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006