MARK COULTER RAFFERTY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935481

License Status

CANCELLED

Business

First Name

MARK

Middle

COULTER

Last Name

RAFFERTY

Suffix

Business Name

MARK COULTER RAFFERTY OD

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

03/31/2010

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010