JENCY MARIAN ELAKKATT Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928386

License Status

CANCELLED

Business

First Name

JENCY

Middle

MARIAN

Last Name

ELAKKATT

Business Name

JENCY MARIAN ELAKKATT

Original Issue Date

01/29/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HODGKINS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010