JOSEPH BARRY JACKSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934442

License Status

CANCELLED

Business

First Name

JOSEPH BARRY

Last Name

JACKSON

Business Name

JOSEPH BARRY JACKSON

Original Issue Date

07/28/2008

Effective Date

07/28/2008

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010