MARK WILMOTH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935901

License Status

CANCELLED

Business

First Name

MARK

Last Name

WILMOTH

Suffix

Business Name

MARK WILMOTH OD

Original Issue Date

12/14/2009

Effective Date

12/14/2009

Expiration Date

03/31/2010

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010