JENNIFFER SHIPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926261

License Status

NOT RENEWED

Business

First Name

JENNIFFER

Last Name

SHIPLE

Suffix

Business Name

JENNIFFER SHIPLE OD

Original Issue Date

06/10/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005