KENNETH E CLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925347

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

CLARK

Business Name

KENNETH E CLARK

Original Issue Date

05/29/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/01/2005