MARK WILMOTH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****77

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WILMOTH

Suffix

Business Name

MARK WILMOTH OD

Original Issue Date

11/13/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006