MARK WILMOTH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927264

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WILMOTH

Suffix

Business Name

MARK WILMOTH OD

Original Issue Date

06/27/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005