ANN E CLARK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

ANN E

Last Name

CLARK

Suffix

Business Name

ANN E CLARK OD

Original Issue Date

09/15/1999

Effective Date

03/16/2022

Expiration Date

03/31/2024

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025