JENCY MARIAN ELAKKATT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928395

License Status

NOT RENEWED

Business

First Name

JENCY

Middle

MARIAN

Last Name

ELAKKATT

Business Name

JENCY MARIAN ELAKKATT

Original Issue Date

01/31/2002

Effective Date

03/09/2004

Expiration Date

03/31/2006

City

EVERGREEN PARK

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006