CRAIG MATTHEW DECLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007272

License Status

NOT RENEWED

Business

First Name

CRAIG MATTHEW

Last Name

DECLARK

Business Name

CRAIG MATTHEW DECLARK

Original Issue Date

09/04/1980

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005