SCOTT A CLARKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926122

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

CLARKE

Business Name

SCOTT A CLARKE

Original Issue Date

02/22/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/11/2005