MARK V GRAVES OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932685

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

GRAVES

Suffix

Business Name

MARK V GRAVES OD

Original Issue Date

11/22/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010