JEFFREY EDWIN MONTGOMERY - Optometrist License in Illinois | # 047927899

JEFFREY EDWIN MONTGOMERY

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927899

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

EDWIN

Last Name

MONTGOMERY

Business Name

JEFFREY EDWIN MONTGOMERY

Original Issue Date

05/15/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005