MARK WILMOTH OD - Optometrist License in Illinois | # 047931559

MARK WILMOTH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931559

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

WILMOTH

Suffix

OD

Business Name

MARK WILMOTH OD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006