MARK D SPENCER OD - Optometrist License in Illinois | # 047932763

MARK D SPENCER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932763

License Status

CANCELLED

Business

N

First Name

MARK

Middle

D

Last Name

SPENCER

Suffix

OD

Business Name

MARK D SPENCER OD

Original Issue Date

01/08/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010