LOUIS RAYMOND A JISON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934489

License Status

CANCELLED

Business

First Name

LOUIS

Middle

RAYMOND A

Last Name

JISON

Business Name

LOUIS RAYMOND A JISON

Original Issue Date

08/04/2008

Effective Date

08/04/2008

Expiration Date

03/31/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010