MARK R FOUTCH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204501

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

FOUTCH

Business Name

MARK R FOUTCH

Original Issue Date

06/27/1987

Expiration Date

03/31/1996

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/01/2005