JENNIFFER SHIPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926712

License Status

NOT RENEWED

Business

First Name

JENNIFFER

Last Name

SHIPLE

Suffix

Business Name

JENNIFFER SHIPLE OD

Original Issue Date

01/05/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008