MARK E BREWER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008770

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

BREWER

Suffix

Business Name

MARK E BREWER OD

Original Issue Date

10/04/1994

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022