DAMON W MACKERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931124

License Status

NOT RENEWED

Business

First Name

DAMON W

Last Name

MACKERT

Suffix

Business Name

DAMON W MACKERT OD

Original Issue Date

04/21/2005

Effective Date

04/21/2005

Expiration Date

03/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006