MARK R FOUTCH Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004501

License Status

INACTIVE

Business

First Name

MARK R

Last Name

FOUTCH

Business Name

MARK R FOUTCH

Effective Date

03/14/2000

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005