FRANKLIN JAY RIVENSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928509

License Status

NOT RENEWED

Business

First Name

FRANKLIN

Middle

JAY

Last Name

RIVENSON

Suffix

Business Name

FRANKLIN JAY RIVENSON OD

Original Issue Date

03/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005