MARK E FERGUSON - Optometrist License in Illinois | # 047928394

MARK E FERGUSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928394

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

E

Last Name

FERGUSON

Business Name

MARK E FERGUSON

Original Issue Date

01/31/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005