MARK E BREWER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928230

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

BREWER

Suffix

Business Name

MARK E BREWER OD

Original Issue Date

10/17/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005