MARK A YATES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

YATES

Business Name

MARK A YATES

Original Issue Date

10/15/2008

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021