DAMON W MACKERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930973

License Status

NOT RENEWED

Business

First Name

DAMON W

Last Name

MACKERT

Suffix

Business Name

DAMON W MACKERT OD

Original Issue Date

03/10/2005

Effective Date

11/08/2006

Expiration Date

03/31/2008

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008