MARK A BREI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933632

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

BREI

Suffix

Business Name

MARK A BREI OD

Original Issue Date

12/13/2007

Effective Date

12/13/2007

Expiration Date

03/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/02/2008