HELEN JACQUELINE CLARK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933571

License Status

CANCELLED

Business

First Name

HELEN

Middle

JACQUELINE

Last Name

CLARK

Business Name

HELEN JACQUELINE CLARK

Original Issue Date

11/16/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010