JEFFREY SCOTT PORTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933514

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

PORTER

Suffix

Business Name

JEFFREY SCOTT PORTER OD

Original Issue Date

10/26/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010