JILL C INGELSE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933617

License Status

CANCELLED

Business

Title

First Name

JILL

Middle

Last Name

INGELSE

Business Name

JILL C INGELSE OD

Original Issue Date

12/06/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010