HARVEY D MACK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008706

License Status

INACTIVE

Business

First Name

HARVEY

Middle

Last Name

MACK

Suffix

Business Name

HARVEY D MACK OD

Original Issue Date

02/08/1994

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

01/04/2020