JENNIFER BRAVE RAFATI Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935507

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

BRAVE

Last Name

RAFATI

Business Name

JENNIFER BRAVE RAFATI

Original Issue Date

07/17/2009

Effective Date

07/17/2009

Expiration Date

03/31/2010

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010