KEVIN M JARA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927724

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

JARA

Suffix

Business Name

KEVIN M JARA OD

Original Issue Date

02/05/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005