MARK R FOUTCH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925733

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

FOUTCH

Business Name

MARK R FOUTCH

Original Issue Date

06/12/1998

Effective Date

08/26/2003

Expiration Date

03/31/2000

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005