MARK R BARLOW OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932482

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

Last Name

BARLOW

Business Name

MARK R BARLOW OD

Original Issue Date

08/25/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/04/2010