JEFFREY J CLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006950

License Status

NOT RENEWED

Business

First Name

JEFFREY J

Last Name

CLARK

Business Name

JEFFREY J CLARK

Original Issue Date

07/29/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005