CHERYL L JACKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

Title

First Name

CHERYL

Middle

Last Name

JACKSON

Business Name

CHERYL L JACKSON OD

Original Issue Date

04/08/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006