JESSE JACOB FERTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009533

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

JACOB

Last Name

FERTIG

Suffix

Business Name

JESSE JACOB FERTIG OD

Original Issue Date

06/24/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BROOKLYN

State

Zip

11222

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010