MARK V GRAVES OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926322

License Status

INOPERATIVE

Business

First Name

MARK

Middle

Last Name

GRAVES

Suffix

Business Name

MARK V GRAVES OD

Original Issue Date

08/06/1999

Effective Date

02/26/2002

Expiration Date

03/31/2002

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005