JEWEL A LEWIS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926758

License Status

CANCELLED

Business

First Name

JEWEL A

Last Name

LEWIS

Business Name

JEWEL A LEWIS

Original Issue Date

02/04/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010