MARK M ALLES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926005

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

ALLES

Suffix

Business Name

MARK M ALLES OD

Original Issue Date

12/03/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005