JENNIFER EBERLIN-NAGEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928959

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

EBERLIN-NAGEL

Suffix

Business Name

JENNIFER EBERLIN-NAGEL OD

Original Issue Date

09/06/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

09/11/2005