JEFFREY SCOTT PORTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927305

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

PORTER

Suffix

Business Name

JEFFREY SCOTT PORTER OD

Original Issue Date

07/28/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008