JEFFREY SCOTT PORTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926529

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

PORTER

Suffix

Business Name

JEFFREY SCOTT PORTER OD

Original Issue Date

10/20/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005