KERRY M JOHN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930738

License Status

CANCELLED

Business

First Name

KERRY

Middle

Last Name

JOHN

Suffix

Business Name

KERRY M JOHN OD

Original Issue Date

11/19/2004

Effective Date

03/14/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005