JANNA F BROCKMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935767

License Status

CANCELLED

Business

Title

First Name

JANNA

Middle

Last Name

BROCKMAN

Business Name

JANNA F BROCKMAN OD

Original Issue Date

10/11/2009

Effective Date

10/11/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010