MARK E FERGUSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018331

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

FERGUSON

Business Name

MARK E FERGUSON

Original Issue Date

12/11/1995

Expiration Date

03/31/1998

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

09/01/2005