KENNETH E CLARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925751

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

CLARK

Business Name

KENNETH E CLARK

Original Issue Date

07/16/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

TAMMS

State

Zip

62988

County

ALEXANDER

Ever Disciplined

LastModifiedDate

09/11/2005