MARK A ELLISON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207313

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

ELLISON

Business Name

MARK A ELLISON

Original Issue Date

07/16/1988

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005