MARK T MCDERMOTT Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

INACTIVE

Business

First Name

MARK T

Last Name

MCDERMOTT

Business Name

MARK T MCDERMOTT

Original Issue Date

05/28/1997

Effective Date

04/21/1998

Expiration Date

03/31/1998

City

NORTHFIELD

State

Zip

60093

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005