JORGE A BENAVENTE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932840

License Status

NOT RENEWED

Business

First Name

JORGE

Middle

Last Name

BENAVENTE

Suffix

Business Name

JORGE A BENAVENTE OD

Original Issue Date

01/30/2007

Effective Date

01/30/2007

Expiration Date

03/31/2008

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008