KEVIN M JARA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926801

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

JARA

Suffix

Business Name

KEVIN M JARA OD

Original Issue Date

02/24/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005