JILL SUZANNE DAVIDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009654

License Status

NOT RENEWED

Business

First Name

JILL

Middle

SUZANNE

Last Name

DAVIDS

Suffix

Business Name

JILL SUZANNE DAVIDS OD

Original Issue Date

06/23/2004

Effective Date

03/15/2022

Expiration Date

03/31/2024

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

02/05/2025