JENNIFER M JACOBS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929557

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

JACOBS

Suffix

Business Name

JENNIFER M JACOBS OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005