MARK E BREWER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928051

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

BREWER

Suffix

Business Name

MARK E BREWER OD

Original Issue Date

08/15/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005