MARK WILMOTH OD - Optometrist License in Illinois | # 047927264

MARK WILMOTH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927264

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

WILMOTH

Suffix

OD

Business Name

MARK WILMOTH OD

Original Issue Date

06/27/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005