JENNIFER M JACOBS OD - Optometrist License in Illinois | # 047930352

JENNIFER M JACOBS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930352

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

M

Last Name

JACOBS

Suffix

OD

Business Name

JENNIFER M JACOBS OD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006