JANNA F BROCKMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933239

License Status

NOT RENEWED

Business

Title

First Name

JANNA

Middle

Last Name

BROCKMAN

Business Name

JANNA F BROCKMAN OD

Original Issue Date

07/30/2007

Effective Date

07/30/2007

Expiration Date

03/31/2008

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008