MARK R BARLOW OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018748

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

BARLOW

Business Name

MARK R BARLOW OD

Original Issue Date

09/19/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005