JASON EVAN BRAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931313

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EVAN

Last Name

BRAND

Suffix

Business Name

JASON EVAN BRAND OD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

03/31/2006

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006