Jackson R Bennett Jr Od
ExpiredIllinois license 047930006
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 047930006
- Status
- Expired (Not Renewed)
- First issued
- March 3, 2004
- Expired
- March 31, 2006
- License holder
- Jackson R Bennett Jr Od
- Entity type
- Individual
Classifications
- Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing
More from the license record
- Current term began
- 03/03/2004
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Contact
Rockford, IL 61108
Winnebago County