MARK I ROSS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935047

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

ROSS

Suffix

Business Name

MARK I ROSS OD

Original Issue Date

01/28/2009

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010