JENNIFER JOY MALPASS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928728

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JOY

Last Name

MALPASS

Suffix

Business Name

JENNIFER JOY MALPASS OD

Original Issue Date

06/10/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005