JENNIFER M JACOBS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932704

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

Last Name

JACOBS

Suffix

Business Name

JENNIFER M JACOBS OD

Original Issue Date

12/05/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010