MARK K COLIP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028515

License Status

NOT RENEWED

Business

First Name

MARK K

Last Name

COLIP

Suffix

Business Name

MARK K COLIP OD

Original Issue Date

03/04/1993

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005