JOSEPH BARRY JACKSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935908

License Status

CANCELLED

Business

First Name

JOSEPH BARRY

Last Name

JACKSON

Business Name

JOSEPH BARRY JACKSON

Original Issue Date

12/22/2009

Effective Date

12/22/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010