JESSE N PETERMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931582

License Status

NOT RENEWED

Business

Title

First Name

JESSE

Middle

Last Name

PETERMAN

Business Name

JESSE N PETERMAN OD

Original Issue Date

10/19/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/10/2008