JESSE JACOB FERTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929804

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

10/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005