JENNIFER JOY MALPASS OD - Optometrist License in Illinois | # 047930015

JENNIFER JOY MALPASS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930015

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

JOY

Last Name

MALPASS

Suffix

OD

Business Name

JENNIFER JOY MALPASS OD

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006