LOUIS RAYMOND A JISON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

RAYMOND A

Last Name

JISON

Business Name

LOUIS RAYMOND A JISON

Original Issue Date

08/04/2008

Effective Date

01/27/2012

Expiration Date

03/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014