MARK I ROSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927775

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

ROSS

Suffix

Business Name

MARK I ROSS OD

Original Issue Date

03/12/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005