JENNIFER ELAINE WEIER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933107

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

ELAINE

Last Name

WEIER

Suffix

Business Name

JENNIFER ELAINE WEIER OD

Original Issue Date

06/27/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010