MARK R BARLOW OD - Optometrist License in Illinois | # 047929148

MARK R BARLOW OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929148

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

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005