KEVIN M JARA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929336

License Status

CANCELLED

Business

First Name

KEVIN M

Last Name

JARA

Suffix

Business Name

KEVIN M JARA OD

Original Issue Date

02/26/2003

Effective Date

12/12/2003

Expiration Date

03/31/2004

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/01/2005