MARK A MLSNA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007791

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

MLSNA

Business Name

MARK A MLSNA

Original Issue Date

01/17/1987

Expiration Date

03/31/1988

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/01/2005