JOSEPH BARRY JACKSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935401

License Status

CANCELLED

Business

First Name

JOSEPH BARRY

Last Name

JACKSON

Business Name

JOSEPH BARRY JACKSON

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

03/31/2010

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/04/2010