JOHN CLARK MOFFETT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107000

License Status

NOT RENEWED

Business

First Name

JOHN CLARK

Last Name

MOFFETT

Business Name

JOHN CLARK MOFFETT

Original Issue Date

04/26/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005