JILL RENEE` SCHEIFFELE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930701

License Status

NOT RENEWED

Business

First Name

JILL

Middle

RENEE`

Last Name

SCHEIFFELE

Suffix

Business Name

JILL RENEE` SCHEIFFELE OD

Original Issue Date

10/29/2004

Effective Date

10/29/2004

Expiration Date

03/31/2006

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006