CRAIG MATTHEW DECLARK - Optometrist License in Illinois | # 047007272

CRAIG MATTHEW DECLARK

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007272

License Status

NOT RENEWED

Business

N

First Name

CRAIG MATTHEW

Last Name

DECLARK

Business Name

CRAIG MATTHEW DECLARK

Original Issue Date

09/04/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005