GREGORY D JACKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933081

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

JACKSON

Suffix

Business Name

GREGORY D JACKSON OD

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

03/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008