ANDREW THOMAS CLARK OD - Optometrist License in Illinois | # 047307654

ANDREW THOMAS CLARK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307654

License Status

CANCELLED

Business

N

First Name

ANDREW

Middle

THOMAS

Last Name

CLARK

Suffix

OD

Business Name

ANDREW THOMAS CLARK OD

Original Issue Date

07/26/1991

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005