JEFFERY W SMITH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934913

License Status

CANCELLED

Business

First Name

JEFFERY W

Last Name

SMITH

Business Name

JEFFERY W SMITH

Original Issue Date

12/08/2008

Effective Date

12/08/2008

Expiration Date

03/31/2010

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010