SCOTT A CLARKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008347

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

CLARKE

Business Name

SCOTT A CLARKE

Original Issue Date

06/19/1992

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/01/2005