MARK A ELLISON - Optometrist License in Illinois | # 047107313

MARK A ELLISON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107313

License Status

NOT RENEWED

Business

N

First Name

MARK A

Last Name

ELLISON

Business Name

MARK A ELLISON

Original Issue Date

06/27/1983

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008