JENNY BROOKE FERGUSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935441

License Status

CANCELLED

Business

First Name

JENNY

Middle

BROOKE

Last Name

FERGUSON

Business Name

JENNY BROOKE FERGUSON

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010