CRAIG MATTHEW DECLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307272

License Status

NOT RENEWED

Business

First Name

CRAIG MATTHEW

Last Name

DECLARK

Business Name

CRAIG MATTHEW DECLARK

Original Issue Date

08/15/1987

Expiration Date

03/31/1996

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005