FERNAND FELIPE JIMENEZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935346

License Status

CANCELLED

Business

First Name

FERNAND

Middle

FELIPE

Last Name

JIMENEZ

Suffix

Business Name

FERNAND FELIPE JIMENEZ OD

Original Issue Date

05/18/2009

Effective Date

05/18/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010