JAIME LYNNE KING Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935426

License Status

CANCELLED

Business

First Name

JAIME

Middle

LYNNE

Last Name

KING

Business Name

JAIME LYNNE KING

Original Issue Date

06/21/2009

Effective Date

06/21/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010