DAMON W MACKERT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930975

License Status

CANCELLED

Business

First Name

DAMON W

Last Name

MACKERT

Suffix

Business Name

DAMON W MACKERT OD

Original Issue Date

03/10/2005

Effective Date

06/09/2008

Expiration Date

03/31/2010

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010