JOSEPH BARRY JACKSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935482

License Status

CANCELLED

Business

First Name

JOSEPH BARRY

Last Name

JACKSON

Business Name

JOSEPH BARRY JACKSON

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

03/31/2010

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010