GREGORY D JACKSON OD - Optometrist License in Illinois | # 047931488

GREGORY D JACKSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931488

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

D

Last Name

JACKSON

Suffix

OD

Business Name

GREGORY D JACKSON OD

Original Issue Date

08/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008