ANN E CLARK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928416

License Status

CANCELLED

Business

First Name

ANN E

Last Name

CLARK

Suffix

Business Name

ANN E CLARK OD

Original Issue Date

02/01/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010