JASON EVAN BRAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929069

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EVAN

Last Name

BRAND

Suffix

Business Name

JASON EVAN BRAND OD

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005