MARK D SPENCER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929513

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SPENCER

Suffix

Business Name

MARK D SPENCER OD

Original Issue Date

06/25/2003

Effective Date

02/05/2004

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006