MARK L SKOWRON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007453

License Status

CANCELLED

Business

First Name

MARK L

Last Name

SKOWRON

Business Name

MARK L SKOWRON

Original Issue Date

05/12/1986

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010