JOLENE FENSKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928448

License Status

NOT RENEWED

Business

First Name

JOLENE

Last Name

FENSKE

Business Name

JOLENE FENSKE

Original Issue Date

02/26/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/11/2005