FRANKLIN JAY RIVENSON OD - Optometrist License in Illinois | # 047928509

FRANKLIN JAY RIVENSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928509

License Status

NOT RENEWED

Business

N

First Name

FRANKLIN

Middle

JAY

Last Name

RIVENSON

Suffix

OD

Business Name

FRANKLIN JAY RIVENSON OD

Original Issue Date

03/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005