JEFFREY BRIAN FRANK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

BRIAN

Last Name

FRANK

Suffix

Business Name

JEFFREY BRIAN FRANK OD

Original Issue Date

03/05/2004

Effective Date

03/05/2004

Expiration Date

03/31/2006

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006