MARK D REVERE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007146

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

REVERE

Business Name

MARK D REVERE

Original Issue Date

11/28/1978

Expiration Date

01/01/1997

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005