JENCY MARIAN ELAKKATT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933601

License Status

NOT RENEWED

Business

First Name

JENCY

Middle

MARIAN

Last Name

ELAKKATT

Business Name

JENCY MARIAN ELAKKATT

Original Issue Date

12/01/2007

Effective Date

12/01/2007

Expiration Date

03/31/2008

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008