JENNIFER JOY MALPASS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JOY

Last Name

MALPASS

Suffix

Business Name

JENNIFER JOY MALPASS OD

Original Issue Date

08/06/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SCHAUMBURG

State

Zip

60193

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006