KEVIN M JARA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928814

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

JARA

Suffix

Business Name

KEVIN M JARA OD

Original Issue Date

07/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005