MARK A YATES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925251

License Status

CANCELLED

Business

First Name

MARK A

Last Name

YATES

Business Name

MARK A YATES

Original Issue Date

03/13/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010