GREGORY D JACKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931488

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

JACKSON

Suffix

Business Name

GREGORY D JACKSON OD

Original Issue Date

08/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008