DOROTHY ERIN MARK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009724

License Status

INACTIVE

Business

First Name

DOROTHY

Middle

ERIN

Last Name

MARK

Suffix

Business Name

DOROTHY ERIN MARK OD

Original Issue Date

10/08/2004

Effective Date

10/08/2004

Expiration Date

03/31/2006

City

JACKSONVILLE

State

Zip

32256

County

FLORIDA

Ever Disciplined

LastModifiedDate

08/31/2005