CLARK E DESHON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931097

License Status

CANCELLED

Business

First Name

CLARK E

Last Name

DESHON

Suffix

Business Name

CLARK E DESHON OD

Original Issue Date

04/19/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

05/04/2010