JACK L HOLLENBECK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005530

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

HOLLENBECK

Business Name

JACK L HOLLENBECK

Expiration Date

05/01/1982

City

APPLETON

State

Zip

54911

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005