MARK A ELLISON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007313

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

ELLISON

Business Name

MARK A ELLISON

Original Issue Date

08/07/1980

Effective Date

03/12/2022

Expiration Date

03/31/2024

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025