KENNETH E CLARK - Optometrist License in Illinois | # 047106111

KENNETH E CLARK

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106111

License Status

CANCELLED

Business

N

First Name

KENNETH E

Last Name

CLARK

Business Name

KENNETH E CLARK

Original Issue Date

05/28/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005