JASON EVAN BRAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928884

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EVAN

Last Name

BRAND

Suffix

Business Name

JASON EVAN BRAND OD

Original Issue Date

08/15/2002

Effective Date

04/07/2004

Expiration Date

03/31/2006

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006