JEFFREY R HENLINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927941

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

HENLINE

Suffix

Business Name

JEFFREY R HENLINE OD

Original Issue Date

06/01/2001

Effective Date

03/16/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006