MARY JACOBSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934088

License Status

CANCELLED

Business

First Name

MARY

Last Name

JACOBSON

Suffix

Business Name

MARY JACOBSON OD

Original Issue Date

04/09/2008

Effective Date

04/09/2008

Expiration Date

03/31/2010

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010