MARK WILMOTH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935915

License Status

CANCELLED

Business

First Name

MARK

Last Name

WILMOTH

Suffix

Business Name

MARK WILMOTH OD

Original Issue Date

01/25/2010

Effective Date

01/25/2010

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

01/25/2010