HELEN JACQUELINE CLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010040

License Status

NOT RENEWED

Business

First Name

HELEN

Middle

JACQUELINE

Last Name

CLARK

Business Name

HELEN JACQUELINE CLARK

Original Issue Date

11/14/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

05/04/2010