JEFFREY R HENLINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927237

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

HENLINE

Suffix

Business Name

JEFFREY R HENLINE OD

Original Issue Date

06/21/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005