JILL C INGELSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

Title

First Name

JILL

Middle

Last Name

INGELSE

Business Name

JILL C INGELSE OD

Original Issue Date

12/06/2007

Effective Date

12/06/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008