JESSE JACOB FERTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931239

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006