JENNIFFER SHIPLE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926711

License Status

CANCELLED

Business

First Name

JENNIFFER

Last Name

SHIPLE

Suffix

Business Name

JENNIFFER SHIPLE OD

Original Issue Date

01/05/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010