ELLEN PARK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010593

License Status

INACTIVE

Business

First Name

ELLEN

Last Name

PARK

Business Name

ELLEN PARK

Original Issue Date

07/16/2012

Effective Date

07/16/2012

Expiration Date

03/31/2014

City

SACRAMENTO

State

Zip

95828

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/09/2014