MARK R BARLOW OD - Optometrist License in Illinois | # 047048748

MARK R BARLOW OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048748

License Status

NOT RENEWED

Business

N

Title

OD

First Name

MARK

Middle

R

Last Name

BARLOW

Business Name

MARK R BARLOW OD

Original Issue Date

09/19/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005