MARK A MLSNA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207791

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

MLSNA

Business Name

MARK A MLSNA

Original Issue Date

01/17/1987

Expiration Date

03/31/1988

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005