ANDREW THOMAS CLARK OD - Optometrist License in Illinois | # 047047654

ANDREW THOMAS CLARK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047047654

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

THOMAS

Last Name

CLARK

Suffix

OD

Business Name

ANDREW THOMAS CLARK OD

Original Issue Date

12/03/1993

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005