JESSE JACOB FERTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929537

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

08/01/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005