HARVEY D MACK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932998

License Status

CANCELLED

Business

First Name

HARVEY

Middle

Last Name

MACK

Suffix

Business Name

HARVEY D MACK OD

Original Issue Date

05/01/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

05/04/2010