JEFFERY W SMITH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933654

License Status

CANCELLED

Business

First Name

JEFFERY W

Last Name

SMITH

Business Name

JEFFERY W SMITH

Original Issue Date

12/27/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010