MARK D SPENCER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932763

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

SPENCER

Suffix

Business Name

MARK D SPENCER OD

Original Issue Date

01/08/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010