GILBERT A JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926611

License Status

NOT RENEWED

Business

First Name

GILBERT A

Last Name

JACOBS

Business Name

GILBERT A JACOBS

Original Issue Date

11/19/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005