JESSICA ELAINE GOEKEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935310

License Status

CANCELLED

Business

First Name

JESSICA

Middle

ELAINE

Last Name

GOEKEN

Suffix

Business Name

JESSICA ELAINE GOEKEN OD

Original Issue Date

04/30/2009

Effective Date

04/30/2009

Expiration Date

03/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010